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Organization

KREIDER SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY J STAUTER (EXECUTIVE DIRECTOR)
(815) 288-6691
Entity
Organization

Contact information

Practice address
307 ALAN ST, ASHTON, IL 61006-9214
(815) 453-2226
(815) 288-1636
Mailing address
PO BOX 366, DIXON, IL 61021-0366
(815) 288-6691
(815) 288-1636

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0036822
IL

Other

Enumeration date
04/09/2008
Last updated
08/19/2014
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