Ottawa Friendship House Work Activity Center, INC

NPI #1093110066 in Streator, Illinois

Provider Information

NPI Number
1093110066
Entity Type
Organization
Organization Name
Ottawa Friendship House Work Activity Center, INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Nov 3, 2014
Last Updated
Nov 3, 2014

Practice Location

Address
600 WEST 12TH STREET
ZIP Code
61364
Phone
(815) 673-1182

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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