Shawnee House, Inc.
NPI #1629276373 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1629276373
- Entity Type
- Organization
- Organization Name
- Shawnee House, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jul 4, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 137 SOUTH DR
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863-2811
- Phone
- (618) 262-7205
Authorized Official
- Name
- DAVID M ROBERTS
- Title
- CHIEF EXECUTIVE OFFICE
- Phone
- (618) 262-7552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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