Organization
COMMUNITY ALTERNATIVES ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
1630 GEORGETOWN RD, TILTON, IL 61833-8109
(217) 443-4123
(217) 443-4824
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
IL
Other
Enumeration date
01/25/2008
Last updated
04/20/2008
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