Kreider Services Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ashton, IL

NPI 1104158153 · NPPES record last updated Aug 19, 2014

Key facts

NPI
1104158153
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
41152 (IL)
Legal business name
KREIDER SERVICES INC
Practice address
407 N 1St St
Ashton, IL 61006-9476
Phone
(815) 453-2074
NPI assigned
Feb 2, 2010
Organization subpart
No

Authorized official

Name
Mr. Jeffrey J Stauter
Title
Executive Director
Phone
(815) 288-6691

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Kreider Services Inc (17 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 41152 IL Yes

Addresses

Primary practice location

407 N 1St St
Ashton, IL 61006-9476

Mailing address

PO Box 366
Dixon, IL 61021-0366
Phone (815) 288-6691

Other names

  • First Street Group Home Other name

Other providers in Ashton, IL

All providers in Ashton, IL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

Sources for this page

Verify at the official NPI Registry.