Patterson House INC
NPI #1629424312 in Carlinville, Illinois
Provider Information
- NPI Number
- 1629424312
- Entity Type
- Organization
- Organization Name
- Patterson House INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 11, 2016
- Last Updated
- May 11, 2016
Practice Location
- Address
- 522 S BROAD ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-2114
- Phone
- (217) 930-2135
Authorized Official
- Name
- JENNIFER HASELEY
- Title
- OFFICE MANAGER
- Phone
- (217) 422-6510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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