NPI 1053776930

Pioneer Concepts, INC.

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

Practice location

Address: 285 S Farnham St, Galesburg, IL 61401-5323
Phone: (309) 343-1550

Authorised official

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

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 201300003S (IL)

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

Registry record

NPI: 1053776930
Entity type: Organization
NPI issued: 21 Dec 2015
Record last updated: 21 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.