Regina M Bauer
Regina M Bauer is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Breese, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
989 N 5th StBreese, IL 62230-1329
Phone: (618) 772-3522
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1063986214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2019 |
| Last updated in NPPES | January 21, 2019 |
| Mailing address | 989 N 5th St, Breese, IL 62230-1329 |
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