Penta Group Inc
Penta Group Inc is an Intellectual Disabilities Intermediate Care Facility in Centralia, 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.
Practice location Address checks out
2150 E McCord StCentralia, IL 62801-6730
Phone: (618) 918-3770
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0033373 (IL) |
|---|
Record details
| NPI number | 1932246071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Georgia Miller — Administrator · (618) 918-3770 |
| Other names | Bryan Manor |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | October 18, 2010 |
| Mailing address | Po Box 687, Centralia, IL 62801-9111 |
Other providers in Centralia
-
Illinois Department of Human Services
1535 W McCord St, Centralia, IL 62801-5805 · (618) 532-1811
-
Penta Nascent Corporation
338 Country Club Rd, Centralia, IL 62801-3742 · (618) 532-9630
-
Penta Nascent Corporation
332 Country Club Rd, Centralia, IL 62801-3742 · (618) 533-7922
-
Penta Nascent Corporation
920 W 4th St, Centralia, IL 62801-5718 · (618) 533-1199