Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Other names
Murray Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VEACH (CENTER DIRECTOR)
(618) 532-1811
Entity
Organization
Contact information
Practice address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 532-1811
(618) 532-7464
Mailing address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 532-1811
(618) 532-7464
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
805-8000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000583165001
—
IL
05
—
14-G053
—
IL
Enumeration date
02/20/2007
Last updated
06/20/2008
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