Organization · Type 2 NPI
Glenwood House Residential Care, Inc.
Intellectual Disabilities Intermediate Care Facility · Streator, IL
NPI number
1205014727
Active
Practice location
300 W 12th St
Streator, IL 61364-3301
Fax (815) 673-3231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0037192 (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 Streator
About NPI 1205014727
Glenwood House Residential Care, Inc.'s National Provider Identifier is 1205014727, issued on Feb 6, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Streator, IL. The record was last updated on Feb 6, 2008.