Supporting Community Independence

NPI #1023643772 in Bethalto, Illinois

Provider Information

NPI Number: 1023643772
Entity Type: Organization
Organization Name: Supporting Community Independence
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 1 POLO GROUNDS CT
City: Bethalto
State: Illinois
ZIP Code: 62010-2623
Phone: (618) 806-4344

Authorized Official

Name: MRS. ELIZABETH ANN SAHURI, QIDP,RN
Title: CEO
Phone: (618) 806-4344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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