National Provider Identifier Database

ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY
200 MOODY ST
EUREKA, IL61530-1705
Phone: 309-467-3015
Fax: 309-467-5206
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Case Management 251B00000X
Day Training, Developmentally Disabled Services 251C00000X

* Indicates primary specialty

NPI Profile & details for ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY

NPI Number 1225405137
Legal business name
LBN
ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY
Authorized official KEITH MCARDLE - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 08/26/2015
Last updated 08/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 199600006S

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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