NPI 1023220241

Comwell

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Sparta, IL

Practice location

Address: 101 Melmar Circle, Sparta, IL 62286-1135
Phone: (618) 443-6044
Fax: (618) 443-6044
Mailing address: 10257 State Route 3, Red Bud, IL 62278-4418

Authorised official

Name: Kimber L Browne
Title: Director of Finance
Phone: (618) 282-6233

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1023220241
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 3 Feb 2021

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.