Organization · Type 2 NPI
Patterson House, Inc.
Intellectual Disabilities Intermediate Care Facility · Pekin, IL
NPI number
1073786562
Active
Practice location
3240 Barney Ave
Pekin, IL 61554-6233
Fax (309) 347-6146
Mailing address
PO Box 25527
Decatur, IL 62525-5527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0039370 (IL) |
| Secured Medical Transport (VAN) | 343800000X | 0039370 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Pekin
About NPI 1073786562
Patterson House, Inc.'s National Provider Identifier is 1073786562, issued on Apr 7, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pekin, IL. The record was last updated on Jun 24, 2008.