Organization
ALVIN EADES CENTER, INC.
Active
Parent organization
ALVIN EADES CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALVIN EADES CENTER, INC.
Authorized official
MR. BRAD BARNES (EXECUTIVE DIRECTOR)
(217) 245-9898
Entity
Organization
Contact information
Practice address
1000A W MICHIGAN AVE, JACKSONVILLE, IL 62650-3117
(217) 245-9898
(217) 243-7966
Mailing address
905 W SUPERIOR AVE, JACKSONVILLE, IL 62650-3117
(217) 245-9898
(217) 243-7966
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0040220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710432968
—
IL
Enumeration date
02/21/2008
Last updated
08/24/2016
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