Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Residential Centers Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1043482979

Community Residential Centers Inc is an Intellectual Disabilities Intermediate Care Facility in Galesburg, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

239 S Cherry St
Galesburg, IL 61401-4911
Phone: (309) 343-4101
Fax: (309) 343-4118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 34066 (IL)

Record details

NPI number1043482979
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommunity Residential Centers Inc
Authorized official Ronald Wilson — Authorized Agent · (309) 343-1550
Other names St Marys Square Living Center
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 20, 2008
Mailing address285 South Farnham Street, Galesburg, IL 61401-5323

Other providers in Galesburg