OrganizationActive
Moultrie County Beacon
NPI 1639356017 · Developmentally Disabled Services Day Training Agency · Sullivan, IL
Provider details
- NPI number
- 1639356017
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Linda Thomas, Developmental Therapist(217) 728-7396
- License
- 001 (IL)
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
- 2008-01-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.