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

Marys Village Foundation

Organization Driver · NPI 1104560838

Marys Village Foundation is a Driver in Belleville, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

3922 N Belt W
Belleville, IL 62226-5608
Phone: (618) 974-4807
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Driver Taxonomy 172A00000X

Record details

NPI number1104560838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanta Doss — Owner · (618) 974-4807
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address3922 N Belt W, Belleville, IL 62226-5608

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