Living In A Family Environment Management Corporation

NPI 1063503647 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1063503647
Enumeration Date 09/27/2006
Last Updated 03/30/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT STANLEY ROBERT
Position C.E.O.
Phone (618) 967-7106
Fax (618) 549-8163
Practice Location
3136 MYERS LN
MAKANDA IL, 62958-5200, US
Phone (618) 967-7106
Fax (618) 549-8163
Business Location
3136 MYERS LN
MAKANDA IL, 62958-5200, US
Phone (618) 967-7106
Fax (618) 549-8163
Toxanomy
Taxonomy Code 315P00000X
License State Illinois
License Number 000042465
Remove 1063503647 NPI Number
 

According to our database, Living In A Family Environment Management Corporation NPI is 1063503647, taxonomy code is 315P00000X and license number is 000042465, license state is located at Illinois. Living In A Family Environment Management Corporation physically located at 3136 Myers Ln, Makanda IL, 62958-5200. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063503647 NPI number is provided on an as is basis without warranty of any kind. 1063503647 is maintained by the National Plan & Provider Enumeration System. The contents of Living In A Family Environment Management Corporation are for informational purposes only.