Ottawa Friendship House

NPI #1023466489 in Ottawa, Illinois

Provider Information

NPI Number: 1023466489
Entity Type: Organization
Organization Name: Ottawa Friendship House
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 810 W MAIN ST
City: Ottawa
State: Illinois
ZIP Code: 61350-2679
Phone: (815) 324-5049

Authorized Official

Name: MRS. BETH MANGOLD
Title: EXECUTIVE DIRECTOR
Phone: (815) 434-0737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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