Gillespie 694140
Gillespie 694140 is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1201 S Main StJacksonville, IL 62650-3339
Phone: (217) 479-2120
Fax: (217) 243-8920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1881738979 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susie Pennell — Administrative Assistant · (217) 479-2120 |
| Other names | Jacksonville Developmental Center |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1201 S Main St, Jacksonville, IL 62650-3339 |
Other providers in Jacksonville
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Bushnell Dix Hill Jones 694110
1201 S Main St, Jacksonville, IL 62650-3339 · (217) 479-2120
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Department of Human Services
1201 S Main St, Jacksonville, IL 62650-3339 · (217) 479-2120