Organization
STREATOR UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY MARK DEAN LNHA (EXECUTIVE DIRECTOR)
(815) 673-5574
Entity
Organization
Contact information
Practice address
305 N STERLING ST, STREATOR, IL 61364-2369
(815) 673-5574
(815) 673-1714
Mailing address
PO BOX 706, 305 N STERLING ST, STREATOR, IL 61364-2369
(815) 673-5574
(815) 673-1714
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
001
IL
315P00000X
Intellectual Disabilities Intermediate Care Facility
0024265
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
916062
IL
343900000X
Non-emergency Medical Transport (VAN)
002
IL
Other
Enumeration date
07/25/2007
Last updated
07/21/2022
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