Lincoln Square

NPI #1568686947 in Jonesboro, Illinois

Provider Information

NPI Number: 1568686947
Entity Type: Organization
Organization Name: Lincoln Square
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 202 SOUTH MAIN ST
City: Jonesboro
State: Illinois
ZIP Code: 62952-0112
Phone: (618) 833-9573

Authorized Official

Name: DIANA ALLEY
Title: RN AND OWNER
Phone: (618) 833-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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