Organization Name: | LIVING IN A FAMILY ENVIRONMENT MANAGEMENT CORPORATION |
NPI Number: | 1063503647 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT STANLEY BUFFINGTON (C.E.O.) |
Mailing Address: | 3136 Myers Ln Makanda |
State: | IL US |
Postal Code: | 629585200 |
Phone Number: | 6189677106 |
Fax Number: | 6185498163 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 201300019S |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |