Illinois Department of Human Services

NPI #1154453991 in Anna, Illinois

Provider Information

NPI Number
1154453991
Entity Type
Organization
Organization Name
Illinois Department of Human Services
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 9, 2007
Last Updated
Dec 22, 2016

Practice Location

Address
1000 N MAIN ST
City
Anna
ZIP Code
62906-1652
Phone
(618) 833-5161

Authorized Official

Name
DEBRA MUHLSTADT
Title
FISCAL ADMINISTRATOR, SODC OPERATIO
Phone
(815) 288-8335

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Intermediate Care Facility, Intellectual Disabilities

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