Organization · Type 2 NPI
Patterson House, Inc
Intellectual Disabilities Intermediate Care Facility · Sullivan, IL
NPI number
1942473327
Active
Practice location
307 E Jefferson St
Sullivan, IL 61951-2029
Fax (217) 728-9017
Mailing address
PO Box 25527
Decatur, IL 62525-5527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0037341 (IL) |
| Secured Medical Transport (VAN) | 343800000X | 0037341 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1942473327
Patterson House, Inc's National Provider Identifier is 1942473327, issued on Apr 8, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Sullivan, IL. The record was last updated on Jun 24, 2008.