Organization
BEVERLY FARM FOUNDATION
Active
Other names
Day Training
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA E. MILLER (FINANCE DIRECTOR)
(618) 466-0367
Entity
Organization
Contact information
Practice address
6301 HUMBERT RD, GODFREY, IL 62035-2163
(618) 466-0367
(618) 466-3652
Mailing address
6301 HUMBERT RD, GODFREY, IL 62035-2163
(618) 466-0367
(618) 466-3652
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
10/19/2016
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