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

Mulberry Manor, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1164646550

Mulberry Manor, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Anna, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

612 E Davie
Anna, IL 62906-0088
Phone: (618) 833-6012
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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 (IL)

Record details

NPI number1164646550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joann Keller — Administrator · (618) 833-6012
NPI enumeratedApril 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 88, Anna, IL 62906-0088

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