Davies Square

LBN: Community Living Options Inc
Davies Square is an health care organization with primary practice located at 1817 Crescent Drive , Pekin IL 61554-1572. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Community Living Options Inc can be contacted via phone (309) 347-6803, or through Wilson, Ronald J via phone (309) 343-1550.

Contact Information

Primary practice address
1817 Crescent Drive Pekin IL 61554-1572
Phone: (309) 347-6803
Fax: (309) 347-5796
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Ronald J
Phone: (309) 343-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 31955 Illinois

Profile Details

NPI number 1750553103
LBN Legal business name Community Living Options Inc
DBA Doing business as Davies Square
Authorized official Wilson, Ronald J
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2008
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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