Organization
FAYCO ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C ROBERTO LINDBERG (EXECUTIVE DIRECTOR)
(618) 283-0638
Entity
Organization
Contact information
Practice address
1313 SUNSET DRIVE, VANDALIA, IL 62471
(618) 283-0638
(618) 283-3892
Mailing address
PO BOX 277, 1313 SUNSET DRIVE, VANDALIA, IL 62471
(618) 283-0638
(618) 283-3892
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
09/11/2025
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