NPI 1063503647

Living in a Family Environment Management Corporation

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

Practice location

Address: 3136 Myers Ln, Makanda, IL 62958-5200
Phone: (618) 967-7106
Fax: (618) 549-8163

Authorised official

Name: Robert Stanley Buffington
Title: C.E.O.
Phone: (618) 967-7106

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 201300019S (IL)

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

Registry record

NPI: 1063503647
Entity type: Organization
NPI issued: 27 Sep 2006
Record last updated: 30 Mar 2016

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.