| NPI | 1679639967 |
|---|---|
| Other Name | ANN KILEY DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA MUHLSTADT Fiscal Administrator, Sodc Operatio 815-288-8335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IL 036067892) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-12-22 |