Whalio Doctors

NPI 1114117231

Streator Unlimited INC

Organisation Developmentally Disabled Services Day Training Agency Streator, IL

Practice location

Address
305 N Sterling St, Streator, IL 61364-2369
Phone
(815) 673-5574
Fax
(815) 673-1714
Mailing address
PO Box 706 305 N Sterling St, Streator, IL 61364-2369

Authorised official

Name
Jeffrey Mark Dean
Title
Executive Director
Phone
(815) 673-5574

Registered specialties (4)

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence 001 (IL)
Intellectual Disabilities Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0024265 (IL)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 916062 (IL)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence 002 (IL)

Registry record

NPI
1114117231
Entity type
Organization
NPI issued
25 Jul 2007
Record last updated
21 Jul 2022

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.