Village Inn Cobden, INC

NPI #1922277037 in Cobden, Illinois

Provider Information

NPI Number: 1922277037
Entity Type: Organization
Organization Name: Village Inn Cobden, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 22, 2008
Last Updated: Jun 24, 2016

Practice Location

Address: 114 ASH STREET
City: Cobden
State: Illinois
ZIP Code: 62920-0457
Phone: (618) 893-4222

Authorized Official

Name: MR. MATT CHAMNESS
Title: OWNER/PRESIDENT
Phone: (618) 893-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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