Maple House Shelter Care Home, Inc.

NPI #1588784136 in Johnston City, Illinois

Provider Information

NPI Number: 1588784136
Entity Type: Organization
Organization Name: Maple House Shelter Care Home, Inc.
Primary Specialty: Lodging
Enumeration Date: Mar 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 205 E 3RD ST
City: Johnston City
State: Illinois
ZIP Code: 62951-1624
Phone: (618) 983-5731

Authorized Official

Name: MS. RHONDA L. JONES
Title: PRESIDENT
Phone: (618) 983-5731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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