NPI 1104158153

Kreider Services INC

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

Practice location

Address: 407 N 1st St, Ashton, IL 61006-9476
Phone: (815) 453-2074
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 41152 (IL)

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

Registry record

NPI: 1104158153
Entity type: Organization
NPI issued: 2 Feb 2010
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.