Community Integrated Living, Inc.

NPI #1265711600 in Anna, Illinois

Provider Information

NPI Number: 1265711600
Entity Type: Organization
Organization Name: Community Integrated Living, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 16, 2011
Last Updated: Aug 16, 2011

Practice Location

Address: 110 JENI LANE
City: Anna
State: Illinois
ZIP Code: 62906
Phone: (618) 697-1122

Authorized Official

Name: MR. DON J. PIPPINS, LNHA
Title: PRESIDENT
Phone: (618) 697-1122

Specialties & Taxonomy Codes

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

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