Southern Bus & Mobility, Inc
Southern Bus & Mobility, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Breese, Illinois. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12950 Koch LnBreese, IL 62230-4220
Phone: (618) 526-4131
Fax: (618) 526-4585
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1811316011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Rakers — Business Manager · (618) 526-4131 |
| NPI enumerated | April 15, 2014 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 11, 2024 |
| Mailing address | 12950 Koch Ln, Breese, IL 62230-4220 |
Other providers in Breese
-
Regina M Bauer
989 N 5th St, Breese, IL 62230-1329 · (618) 772-3522