Organization
DREW CORPORATION
Active
Other names
MOULTRIE COUNTY COMMUNITY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL JACOBUS (PRESIDENT)
(217) 763-2191
Entity
Organization
Contact information
Practice address
240 E. STATE ST, LOVINGTON, IL 61937
(217) 873-5266
(217) 873-6266
Mailing address
2576 N GREENWAY RD, CERRO GORDO, IL 61818-3022
(217) 763-2191
(217) 763-2101
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
26112
IL
Other
Enumeration date
03/02/2007
Last updated
01/23/2017
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