NPI 1013054154
Kaskaskia Workshop, INC.
Practice location
- Address
- 299 Swan Ave, Centralia, IL 62801
- Phone
- (618) 533-4423
- Mailing address
- PO Box 1946, Centralia, IL 62801-9127
Authorised official
- Name
- Greg Shaver
- Title
- Ceo
- Phone
- (618) 533-4423
Registered specialties (2)
Developmentally Disabled Services Day Training Agency
Primary
Early Intervention Provider Agency
Registry record
- NPI
- 1013054154
- Entity type
- Organization
- NPI issued
- 30 Jan 2007
- Record last updated
- 3 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.