Home and Environments for Living and Programs

NPI #1962658120 in Lebanon, Illinois

Provider Information

NPI Number: 1962658120
Entity Type: Organization
Organization Name: Home and Environments for Living and Programs
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 221 E 3RD ST
City: Lebanon
State: Illinois
ZIP Code: 62254-1668
Phone: (618) 537-4133

Authorized Official

Name: MS. CATHERINE A BROOKSHIRE
Title: ADMINISTRATOR
Phone: (217) 529-9632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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