14D2238449 CLIA NUMBER - CLAY COUNTY REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 14D2238449

Facility Name: CLAY COUNTY REHABILITATION CENTER

Facility Address:
#1 COMMERCIAL DR
FLORA, IL
ZIP 62839
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Facility Phone Number: 618 662-4916

Facility Type: Other - COMMUNITY DAY SERVICES

Certificate Type: Waiver

NPI Number: 1104047208

Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

CLIA Record

Field Name	Field Value
CLIA Number	14D2238449
LAB Type	Other - COMMUNITY DAY SERVICES
Facility Name	CLAY COUNTY REHABILITATION CENTER
Street	#1 COMMERCIAL DR
City	FLORA
State	IL
ZIP	62839
Phone	618 662-4916
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024