Taxonomy Code 320900000X(320900000x)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Providers: 13

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Providers

NPI Name Type Address

1912179250

MRS. M.A. Michelle Leigh Young

Individual

701 W Lamm Rd

Freeport, IL

1598097016

Willowglen Academy-il, Inc.

Organization

564 N Greenfield Dr

Freeport, IL

1215441050

Willowglen Academy-illinois Inc

Organization

701 W Lamm Rd

Freeport, IL

1881100600

Willowglen Academy Illinois

Organization

701 W Lamm Rd

Freeport, IL

1598969073

Willowglen Academy-il

Organization

1653 De Boer Ln

Freeport, IL

1386848299

Willowglen Academy-il

Organization

3111 W Kunkle Blvd

Freeport, IL

1700080629

Willowglen Academy-il

Organization

7 Arcade Ct

Freeport, IL

1093919797

Broadstep Academy-illinois Inc

Organization

239 Winnefred St.

Freeport, IL

1114223245

Broadstep Academy-illinois Inc

Organization

701 W Lamm Rd

Freeport, IL

1164626305

Broadstep Academy-illinois Inc

Organization

321 N Whistler Ave

Freeport, IL

1255535498

Broadstep Academy-illinois Inc

Organization

730 N Brewster Ave

Freeport, IL

1891999710

Broadstep Academy-illinois Inc

Organization

227 E Washington St

Freeport, IL

1982808895

Broadstep Academy-illinois Inc

Organization

833 S 16th Ave

Freeport, IL

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Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 320900000X
Display Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Definition A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Other Taxonomy Codes

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103TC2200X • providers: 4,646

Nurse Practitioner

363L00000X • providers: 80,217

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