Villa House, INC
NPI #1346363553 in Johnston City, Illinois
Provider Information
- NPI Number
- 1346363553
- Entity Type
- Organization
- Organization Name
- Villa House, INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1112 WASHINGTON AVE
- City
- Johnston City
- State
- Illinois
- ZIP Code
- 62951-1536
- Phone
- (618) 983-8513
Authorized Official
- Name
- ROBIN DODSON
- Title
- EXEC. DIRECTOR
- Phone
- (618) 983-8513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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