OrganizationActive
Kaskaskia Workshop, Inc.
NPI 1013054154 · Developmentally Disabled Services Day Training Agency · Centralia, IL
Provider details
- NPI number
- 1013054154
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Greg Shaver, Ceo(618) 533-4423
Specialties & taxonomies
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
299 Swan Ave
Centralia, IL 62801
Phone: (618) 533-4423
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1946
Centralia, IL 62801-9127
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2015-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.