Five Star Industries, Inc.

NPI #1790136414 in Du Quoin, Illinois

Provider Information

NPI Number: 1790136414
Entity Type: Organization
Organization Name: Five Star Industries, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 23, 2016
Last Updated: Jun 23, 2016

Practice Location

Address: 1308 WELLS STREET RD
City: Du Quoin
State: Illinois
ZIP Code: 62832-4171
Phone: (618) 542-5421

Authorized Official

Name: MRS. SUSAN ENGELHARDT
Title: EXECUTIVE DIRECTOR
Phone: (618) 542-5421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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