Southern Illinois Center For Independent Living
Voluntary or Charitable in Carbondale, IL. Organization (NPI-2).
NPI number1760622682
StatusActive
Last updated in NPPESMar 5, 2009
Details
- NPI
- 1760622682
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Illinois Center For Independent Living
- Organization subpart
- No
- Enumeration date
- Mar 5, 2009
- Last updated
- Mar 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | – | Yes |
Practice location
2135 W Ramada LnCarbondale, IL 62901-5326
Phone 618-457-3318 · Fax 618-549-0132
Mailing address
2135 W Ramada LnCarbondale, IL 62901-5326
Phone 618-457-3318 · Fax 618-549-0132
Authorized official
Bonnie Vaughn
Executive Director
6184573318
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