Patterson House INC

NPI #1003262254 in Carlinville, Illinois

Provider Information

NPI Number: 1003262254
Entity Type: Organization
Organization Name: Patterson House INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: 717 E 1ST SOUTH ST
City: Carlinville
State: Illinois
ZIP Code: 62626-1922
Phone: (217) 930-2166

Authorized Official

Name: JENNIFER HASELEY
Title: OFFICE MANAGER
Phone: (217) 422-6510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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