Organization
COLEMAN TRI-COUNTY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MORSE (ACCOUNTANT)
(618) 252-0275
Entity
Organization
Contact information
Practice address
# 22 VETERANS DRIVE, HARRISBURG, IL 62946
(618) 252-0275
(618) 252-2389
Mailing address
# 22 VETERANS DRIVE, HARRISBURG, IL 62946
(618) 252-0275
(618) 252-2389
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
IL
251S00000X
Community/Behavioral Health Agency
—
IL
251X00000X
Supports Brokerage Agency
—
IL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
IL
320700000X
Physical Disabilities Residential Treatment Facility
—
IL
Other
Enumeration date
03/14/2007
Last updated
09/30/2015
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