NPI 1215302583

Epilepsy Foundation of Greater Southern Illinois

Organisation Adult Care Home Facility Belleville, IL

Practice location

Address: 3515 N Belt W, Belleville, IL 62226-5944
Phone: (618) 236-2181
Fax: (618) 236-3654

Authorised official

Name: Trudy L Baxter
Title: Executive Director
Phone: (618) 236-2181

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 199100111S (IL)

Other Custodial Care Facility providers in Illinois →

Registry record

NPI: 1215302583
Entity type: Organization
NPI issued: 11 Dec 2015
Record last updated: 11 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.