West Grove, INC
NPI #1124152384 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1124152384
- Entity Type
- Organization
- Organization Name
- West Grove, INC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- RR 1 BOX 417
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-9796
- Phone
- (618) 943-7597
Authorized Official
- Name
- MR. ROBERT WILLIAM GILLIS
- Title
- ADMINISTRATOR
- Phone
- (618) 945-2091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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