Vintage Support Group, Inc.
NPI #1518337245 in Belleville, Illinois
Provider Information
- NPI Number
- 1518337245
- Entity Type
- Organization
- Organization Name
- Vintage Support Group, Inc.
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Oct 7, 2015
- Last Updated
- Oct 7, 2015
Practice Location
- Address
- 900 ROYAL HEIGHTS RD
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5457
- Phone
- (618) 277-4100
Authorized Official
- Name
- DAVID JAQUES
- Title
- PRESIDENT/CEO
- Phone
- (616) 277-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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