Organization · Type 2 NPI
Maple House Shelter Care Home, Inc.
Lodging Provider · Johnston City, IL
NPI number
1588784136
Active
Practice location
205 E 3rd St
Johnston City, IL 62951-1624
Fax (618) 983-7101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 0038380 (IL) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Another provider at this address
About NPI 1588784136
Maple House Shelter Care Home, Inc.'s National Provider Identifier is 1588784136, issued on Mar 29, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Johnston City, IL. The record was last updated on Aug 22, 2020.