Organization · Type 2 NPI
Sullivan House Residential Care, Inc.
Intellectual Disabilities Intermediate Care Facility · Ottawa, IL
NPI number
1487832903
Active
Practice location
600 Grover Ave
Ottawa, IL 61350-4140
Fax (815) 673-3231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0034140 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Ottawa
About NPI 1487832903
Sullivan House Residential Care, Inc.'s National Provider Identifier is 1487832903, issued on Feb 6, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ottawa, IL. The record was last updated on Feb 6, 2008.