OrganizationActive
Elm City Rehabilitation Center, Inc.
NPI 1902934102 · Developmentally Disabled Services Day Training Agency · Jacksonville, IL
Provider details
- NPI number
- 1902934102
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Thomas Frederick, President Ceo(217) 245-9504
- License
- 04052 (IL)
Specialties & taxonomies
Agencies
Agencies
Practice location
1314 W Walnut St
Jacksonville, IL 62650-1148
Phone: (217) 245-9504
Approximate (ZIP-level) locationGet directions
Mailing address
1314 W Walnut St
Jacksonville, IL 62650-1148
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.