Illinois Department of Human Services
NPI 1003960394 · Intellectual Disabilities Intermediate Care Facility · Centralia, IL
Illinois Department of Human Services is a Intellectual Disabilities Intermediate Care Facility organization in Centralia, IL (NPI 1003960394).
Provider details
- NPI number
- 1003960394
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Muhlstadt, Fiscal Administrator, Sodc Operatio(815) 288-8335
- License
- 805-8000 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2016-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.