Skystar Residential Services
Skystar Residential Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in De Soto, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
406 E Douglas StDe Soto, IL 62924-1516
Phone: (618) 867-3188
Fax: (618) 867-3098
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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 · Licence 099600004S (IL) |
|---|
Record details
| NPI number | 1396100269 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Duncan — Ed · (618) 867-3188 |
| NPI enumerated | December 21, 2015 |
| Last updated in NPPES | December 21, 2015 |
| Mailing address | 406 East Douglas, Desoto, IL 62924 |