Willowglen Academy-il, NPI 1386848299
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Freeport, IL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386848299 |
| NPI Entity Type | Organization |
| Provider Name | Willowglen Academy-il |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 3111 W Kunkle Blvd, Freeport, IL, US |
| Provider Mailing Address | 701 W Lamm Rd, Freeport, IL, US, 610329630 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Elizabeth A Kinard |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 815-233-6162 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| License No. | 411197-03 |
| License State | IL |
| Description | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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