Homestead House
NPI #1881884187 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1881884187
- Entity Type
- Organization
- Organization Name
- Homestead House
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 905 NORTH JEFFERSON
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896
- Phone
- (618) 932-2725
Authorized Official
- Name
- MR. WILLIAM JAMES MATTINGLY
- Title
- PARTNER ADMINISTRATOR
- Phone
- (618) 985-8351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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