OrganizationActive
Comwell
NPI 1174356471 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sparta, IL
Provider details
- NPI number
- 1174356471
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ashley Renner, Billing/Credentialing(618) 282-6233
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
207 N James St
Sparta, IL 62286-1213
Phone: (618) 282-6233
Approximate (ZIP-level) locationGet directions
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.