Specialized Training for Adult Rehabilitation, Inc
Organization Active NPI Developmentally Disabled Services Day Training Agency · Murphysboro, IL
NPI 1174997779 · NPPES record last updated Nov 19, 2015
Key facts
- NPI
- 1174997779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 199100121S (IL)
- Legal business name
- SPECIALIZED TRAINING FOR ADULT REHABILITATION, INC
- Practice address
- 20 N 13TH St
Murphysboro, IL 62966-2057 - Phone
- (618) 687-2378
- Fax
- (618) 687-2733
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathy Baumann
- Title
- Executive Director
- Phone
- (618) 687-2378
Practitioners 4
-
Mandy Jo Sullivan, BCBA
National Provider Directory
Locations
20 N 13th St
Murphysboro, IL 62966
Phone (618) 687-2378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 199100121S | IL | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 199100121S | IL | Yes |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 199100121S | IL |
Addresses
Primary practice location
20 N 13TH St
Murphysboro, IL 62966-2057
Mailing address
20 N 13TH St
PO Box 938
Murphysboro, IL 62966-2057
Phone (618) 687-2378
Other names
- START
Other providers in Murphysboro, IL
- Southern Illinois Hospital Services
- Southern Illinois Hospital Services
- Southern Illinois Hospital Services
- Southern Illinois Medical Services, NFP
- Geoffrey Alan Spears
- Spero Family Services
- St Joseph Memorial Hospital
- Beth Janelle Stewart
- Alysia Marie Stoffel
- Mandy Jo Sullivan
All providers in Murphysboro, IL · Developmentally Disabled Services Day Training Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.