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Community Living Options Inc

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Effingham, IL

NPI 1508038951 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1508038951
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
34074 (IL)
Legal business name
COMMUNITY LIVING OPTIONS INC
Practice address
1026 N Merchant Street
Effingham, IL 62401-2125
Phone
(217) 342-6621
Fax
(217) 342-6687
NPI assigned
Mar 26, 2008
Organization subpart
Yes
Parent organization (as reported)
COMMUNITY LIVING OPTIONS INC

Authorized official

Name
Mr. Ronald J Wilson
Title
Authorized Agent
Phone
(309) 343-1550

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 39

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

View all 39

National Provider Directory

Tax ID family
Community Living Options Inc (40 organizations share this tax ID)
Part of
Community Living Options Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 34074 IL Yes

Addresses

Primary practice location

1026 N Merchant Street
Effingham, IL 62401-2125

Mailing address

285 South Farnham Street
Galesburg, IL 61401-5323
Phone (309) 343-1550

Other names

  • Wetherell Place Doing business as

Other providers in Effingham, IL

All providers in Effingham, IL · Intellectual Disabilities Intermediate Care Facility in Illinois

Sources for this page

Verify at the official NPI Registry.