Spencer Terrace
NPI #1679779342 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1679779342
- Entity Type
- Organization
- Organization Name
- Spencer Terrace
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 137 SOUTH DR
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863-2811
- Phone
- (618) 262-8909
Authorized Official
- Name
- DAVID M ROBERTS
- Title
- PRESIDENT
- Phone
- (618) 262-8909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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