Sullivan House Residential Care, Inc.
NPI #1487832903 in Ottawa, Illinois
Provider Information
- NPI Number
- 1487832903
- Entity Type
- Organization
- Organization Name
- Sullivan House Residential Care, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 6, 2008
- Last Updated
- Feb 6, 2008
Practice Location
Authorized Official
- Name
- RALPH S GOMES
- Title
- PRESIDENT
- Phone
- (815) 433-5858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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