Community Living Options INC

NPI #1235301680 in Lincoln, Illinois

Provider Information

NPI Number
1235301680
Entity Type
Organization
Organization Name
Community Living Options INC
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY LIVING OPTIONS INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 26, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
2324 N KICKAPOO STREET
ZIP Code
62656-1308
Phone
(217) 732-4422

Authorized Official

Name
MR. RONALD J WILSON
Title
AUTHORIZED AGENT
Phone
(309) 343-1550

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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