Patterson House, INC

NPI #1942473327 in Sullivan, Illinois

Provider Information

NPI Number: 1942473327
Entity Type: Organization
Organization Name: Patterson House, INC
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 8, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 307 E JEFFERSON ST
City: Sullivan
State: Illinois
ZIP Code: 61951-2029
Phone: (217) 728-4357

Authorized Official

Name: MS. VERONIKA WILSON, QMRP
Title: RSD
Phone: (217) 728-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Secured Medical Transport (VAN)	343800000X
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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