Organization
CHAMNESS CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY TWEEDY NHA (EXECUTIVE DIRECTOR)
(618) 833-4774
Entity
Organization
Contact information
Practice address
1955 STATE ROUTE 146 E, ANNA, IL 62906-3501
(618) 833-4774
(618) 833-5295
Mailing address
PO BOX I, JONESBORO, IL 62952-0479
(618) 833-4774
(618) 833-5295
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199400197S
IL
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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