ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI 1538203419

NPI Information

ILLINOIS DEPARTMENT OF HUMAN SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Centralia, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI is 1538203419. The provider is registered as an organization entity type.
The provider Is Doing Business As Murray Developmental Center.

The provider's business location address is:

1535 W MCCORD ST
CENTRALIA, IL
ZIP 62801-805
Phone: (618) 532-1811
Fax: (618) 532-7464

The provider's authorized official is James Veach .
The authorized official title is Center Director and has the following contact phone number (618) 532-1811.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 6/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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