Patterson House, Inc.

NPI #1548433154 in Canton, Illinois

Provider Information

NPI Number
1548433154
Entity Type
Organization
Organization Name
Patterson House, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 4, 2008
Last Updated
Jun 24, 2008

Practice Location

Address
1577 E MYRTLE ST
City
Canton
ZIP Code
61520-1520
Phone
(309) 647-6604

Authorized Official

Name
MS. MARCIA ROSE, QMRP
Title
RSD
Phone
(309) 647-6604

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)
Intermediate Care Facility, Intellectual Disabilities

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