OrganizationActive
Association for the Developmentally Disabled of Woodford County
NPI 1225405137 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eureka, IL
Provider details
- NPI number
- 1225405137
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Keith Mcardle, President/Ceo(309) 467-3015
- License
- 199600006S (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 199600006S (IL)
Residential Treatment Facilities
Agencies
Agencies
Practice location
200 Moody St
Eureka, IL 61530-1705
Phone: (309) 467-3015
Fax: (309) 467-5206
Approximate (ZIP-level) locationGet directions
Mailing address
200 Moody St
Eureka, IL 61530-1705
Registry dates
- Enumerated
- 2015-08-26
- Last updated
- 2015-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.