NPI 1790954436

Association for Retarded Citizens of Rock Island County

Organisation Intellectual Disabilities Intermediate Care Facility Moline, IL

Practice location

Address: 4601 53rd St, Moline, IL 61265-8115
Phone: (309) 786-6474
Fax: (309) 786-9861

Authorised official

Name: David D Daughtery
Title: Director of Fiscal Operations
Phone: (309) 786-6474

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0024836 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1790954436
Entity type: Organization
NPI issued: 27 Feb 2008
Record last updated: 27 Feb 2008

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.