NPI 1053572818

Kreider Services INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL

Practice location

Address: 735 N Dixon Ave, Dixon, IL 61021-1615
Phone: (815) 288-6691
Fax: (815) 288-1636
Mailing address: PO Box 366, Dixon, IL 61021-0366

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 0034785 (IL)

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

Registry record

NPI: 1053572818
Entity type: Organization
NPI issued: 24 Jun 2008
Record last updated: 19 Aug 2014

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.