OrganizationActive
Moultrie County Beacon, Inc.
NPI 1609228808 · Developmentally Disabled Services Day Training Agency · Sullivan, IL
Provider details
- NPI number
- 1609228808
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Susan Rauch, Executive Director(217) 728-7396
Specialties & taxonomies
Agencies
Practice location
401 W Water St
Sullivan, IL 61951-1883
Phone: (217) 728-7396
Fax: (217) 728-2217
Approximate (ZIP-level) locationGet directions
Mailing address
401 W Water St
Sullivan, IL 61951-1883
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2016-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.