Organization
SPECIALIZED TRAINING FOR ADULT REHABILITATION, INC
Active
Other names
START
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY BAUMANN (EXECUTIVE DIRECTOR)
(618) 687-2378
Entity
Organization
Contact information
Practice address
20 N 13TH ST, MURPHYSBORO, IL 62966-2057
(618) 687-2378
(618) 687-2733
Mailing address
20 N 13TH ST, PO BOX 938, MURPHYSBORO, IL 62966-2057
(618) 687-2378
(618) 687-2733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
199100121S
IL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
199100121S
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
199100121S
IL
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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