Organization
COMMUNITY INTEGRATED LIVING, INC.
Active
Other names
CIL, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON J. PIPPINS LNHA (PRESIDENT)
(618) 697-1122
Entity
Organization
Contact information
Practice address
110 JENI LANE, ANNA, IL 62906
(618) 697-1122
(618) 833-1360
Mailing address
2465 LICK CREEK RD, ANNA, IL 62906-3269
(618) 697-1122
(618) 833-1360
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
09M012
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09M012
LICENSE
IL
Enumeration date
08/16/2011
Last updated
08/16/2011
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