Organization
WABASH AREA VOCATIONAL ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M ROBERTS (CHIEF EXECUTIVE OFFICER)
(618) 262-8614
Entity
Organization
Contact information
Practice address
1420 WEST THIRD STREET, MT. CARMEL, IL 62863
(618) 262-8614
Mailing address
1420 WEST THIRD STREET, MT. CARMEL, IL 62863
(618) 262-8614
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
06/18/2015
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