Frances House INC

NPI #1073785903 in Moline, Illinois

Provider Information

NPI Number
1073785903
Entity Type
Organization
Organization Name
Frances House INC
Subpart
Yes (part of a larger organization)
Parent Organization
FRANCES HOUSE INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 1, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
7301 34TH AVENUE
City
Moline
ZIP Code
61265-5841
Phone
(309) 796-2949

Authorized Official

Name
MR. RONALD J WILSON
Title
AUTHORIZED AGENT
Phone
(309) 343-1550

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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