OrganizationActive
Human Support Services
NPI 1376093625 · Developmentally Disabled Services Day Training Agency · Waterloo, IL
Provider details
- NPI number
- 1376093625
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anne Riley, Executive Director(618) 939-4444
Specialties & taxonomies
Agencies
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1000
Phone: (618) 939-4444
Fax: (618) 939-4181
Approximate (ZIP-level) locationGet directions
Mailing address
988 N Illinois Route 3
Waterloo, IL 62298-1000
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.