IndividualActive
Ashlee Herbold
NPI 1881071272 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ottawa, IL
Provider details
- NPI number
- 1881071272
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1718 N 2525th Rd
Ottawa, IL 61350
Phone: (815) 434-0737
Approximate (ZIP-level) locationGet directions
Mailing address
1718 N 2525th Rd
Ottawa, IL 61350-9329
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2018-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.