Illinois Department of Human Services

NPI #1821136821 in Kankakee, Illinois

Provider Information

NPI Number
1821136821
Entity Type
Organization
Organization Name
Illinois Department of Human Services
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 2, 2007
Last Updated
Dec 22, 2016

Practice Location

Address
100 E JEFFERY ST
ZIP Code
60901-5018
Phone
(815) 939-8201

Authorized Official

Name
DEBRA MUHLSTADT
Title
FISCAL ADMINISTRATOR, SODC OPERATIO
Phone
(815) 288-8335

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child
Intermediate Care Facility, Intellectual Disabilities

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