Community Living Options INC
NPI #1912179045 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1912179045
- Entity Type
- Organization
- Organization Name
- Community Living Options INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMUNITY LIVING OPTIONS INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 28, 2008
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 324 E DOUGLAS STREET
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2047
- Phone
- (217) 245-0818
Authorized Official
- Name
- MR. RONALD J WILSON
- Title
- AUTHORIZED AGENT
- Phone
- (309) 343-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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