OrganizationActive
Senior Adult Services
NPI 1023516044 · Adult Day Care Clinic/Center · Carbondale, IL
Provider details
- NPI number
- 1023516044
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Long, Executive Director(618) 457-4151
Specialties & taxonomies
Ambulatory Health Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
409 N Springer St
Carbondale, IL 62901-1429
Phone: (618) 457-4151
Approximate (ZIP-level) locationGet directions
Mailing address
409 N Springer St
Carbondale, IL 62901-1429
Registry dates
- Enumerated
- 2018-01-24
- Last updated
- 2018-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.