OrganizationActive
Ctf
NPI 1306118997 · Developmentally Disabled Services Day Training Agency · Homewood, IL
Provider details
- NPI number
- 1306118997
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Eric Edquist, Vice President(708) 922-1532
- License
- 320900000X (IL)
Specialties & taxonomies
Agencies
Practice location
17341 Palmer Blvd
Homewood, IL 60430-4605
Phone: (708) 922-1532
Fax: (708) 922-1526
Approximate (ZIP-level) locationGet directions
Mailing address
1902 Fox Dr Ste B
Champaign, IL 61820-7378
Other names (DBA / former)
- Doing business as
- Charleston Transitional Facility
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2021-04-14
- Certified
- 2021-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.