OrganizationActive
Human Support Services
NPI 1306530894 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hecker, IL
Provider details
- NPI number
- 1306530894
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anne Riley, President & Ceo(618) 939-4444
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
310 Hillgard Lndg
Hecker, IL 62248-1020
Phone: (618) 939-4444
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 146
Waterloo, IL 62298-0146
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.