Organization
ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MCARDLE (PRESIDENT/CEO)
(309) 467-3015
Entity
Organization
Contact information
Practice address
200 MOODY ST, EUREKA, IL 61530-1705
(309) 467-3015
(309) 467-5206
Mailing address
200 MOODY ST, EUREKA, IL 61530-1705
(309) 467-3015
(309) 467-5206
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
199600006S
IL
251C00000X
Developmentally Disabled Services Day Training Agency
199600006S
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199600006S
IL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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