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Intellectual Disabilities Intermediate Care Facility

NPI: 1962658120Organization

Specialties, Licenses & Credentials

Intellectual Disabilities Intermediate Care FacilityPrimary

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

0038430(IL)

Contact & Hours

Address
221 E 3RD ST
LEBANON, IL 62254

Quick Facts

NPI
1962658120
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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