Organization
WILLOWGLEN ACADEMY-IL, INC.
Active
Parent organization
PHOENIX CARE SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX CARE SYSTEMS
Authorized official
MRS. BETTY KINARD (EXECUTIVE DIRECTOR)
(815) 233-6162
Entity
Organization
Contact information
Practice address
564 N GREENFIELD DR, FREEPORT, IL 61032-2943
(815) 233-6162
Mailing address
701 W LAMM RD, FREEPORT, IL 61032-9630
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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