NPI 1114140373

Community Residential Centers INC

Organisation Intellectual Disabilities Intermediate Care Facility Galesburg, IL

Practice location

Address: 239 S Cherry Street, Galesburg, IL 61401
Phone: (309) 343-4101
Fax: (309) 343-4106

Authorised official

Name: Bobby D Dillard
Title: Administrator
Phone: (309) 343-4101

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 003406 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1114140373
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 22 Aug 2020

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.