Beverly Farm Living Options
Beverly Farm Living Options is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Godfrey, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
6301 Humbert RdGodfrey, IL 62035-2163
Phone: (618) 466-0367
Fax: (618) 466-3652
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 201300002M (IL) |
|---|
Record details
| NPI number | 1659792315 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Martha Warford — Executive Director · (618) 466-0367 |
| NPI enumerated | December 26, 2013 |
| Last updated in NPPES | December 26, 2013 |
| Mailing address | 6301 Humbert Rd, Godfrey, IL 62035-2163 |
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-
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