DHS
Residential Treatment Facilities at Wilson St, Fairfield, IL

License number
Illinois 376K00000X
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Physical Disabilities
Owner
Name: JENNIFER WEEDMAN
Title: CNA
Phone: (618) 516-2920
Address
Address
109 W Wilson St, Fairfield, IL 62837
National Provider ID: 1356890453
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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