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
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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