NPI 1699192799

Skill Sprout

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Washington, IL

Practice location

Address: 97 Eastgate Dr, Washington, IL 61571-9271
Phone: (708) 372-9684
Mailing address: 524 Crestview Dr, Metamora, IL 61548-9660

Authorised official

Name: Katie Lynne Kleist
Title: Therapist
Phone: (708) 372-9684

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X Licence 178006427 (IL)

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Registry record

NPI: 1699192799
Entity type: Organization
NPI issued: 26 Mar 2014
Record last updated: 26 Mar 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.