NPI 1295067247

Kreider Services INC

Organisation Intellectual Disabilities Intermediate Care Facility Dixon, IL

Practice location

Address: 726 N Ottawa Ave, Dixon, IL 61021-1632
Phone: (815) 288-7397
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 Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 39065 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1295067247
Entity type: Organization
NPI issued: 2 Feb 2010
Record last updated: 26 Jul 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.