OrganizationActive
Elm City Rehabilitation Center, Inc.
NPI 1679924450 · Developmentally Disabled Services Day Training Agency · Jacksonville, IL
Provider details
- NPI number
- 1679924450
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Thomas Frederick, President/Ceo(217) 245-9504
- License
- 201200001S (IL)
Specialties & taxonomies
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 201200001S (IL)
Residential Treatment Facilities
Practice location
1314 W Walnut St
Jacksonville, IL 62650-1148
Phone: (217) 245-9504
Fax: (217) 245-2350
Approximate (ZIP-level) locationGet directions
Mailing address
1314 W Walnut St
Jacksonville, IL 62650-1148
Other names (DBA / former)
- Doing business as
- Elm City Center
Registry dates
- Enumerated
- 2016-06-23
- Last updated
- 2016-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.