SKYSTAR RESIDENTIAL SERVICES
Residential Treatment Facilities at Douglas St, Bush, IL

License number
Illinois 099600004S
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. RANDALL S DUNCAN
Title: ED
Phone: (618) 867-3188
Address
Address
406 E Douglas St, Bush, IL 62924
National Provider ID: 1396100269
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Skystar Residential Services, Inc

406 E Douglas St, Bush, IL 62924

Industry:
Residential Care Services
Phone:
(618) 867-3188 (Phone)
Office Managers:
Randall Duncan (President),Rus Tarter (Office Manager)