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Patterson House, Inc.
Secured Medical Transport (VAN) in Pekin, Illinois
NPI 1073786562

Patterson House, Inc. is a Secured Medical Transport (VAN) based in Decatur, IL. Patterson House, Inc. practices in Pekin, IL. The NPI Number for Patterson House, Inc. is 1073786562 and holds a License No. 0039370 (Illinois).

The current practice location address for Patterson House, Inc. is 3240 Barney Ave, Pekin, IL and can be reached out via phone at 309-347-6514 and via fax at 309-347-6146.

Location: 3240 Barney Ave, Pekin, IL, 62525-5527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073786562
Provider Name
Patterson House, Inc.
Credential
Provider Entity Type
Organization
Address
3240 Barney Ave, Pekin, IL, 62525-5527
Phone Number
309-347-6514
Fax Number
309-347-6146
Provider Enumeration Date
04/07/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3240 Barney Ave
City
Pekin
State
Illinois
Zip
61554-6233
Phone Number
309-347-6514
Fax Number
309-347-6146
person
Provider Business Mailing Address Details
Address
3240 Barney Ave
City
Pekin
State
Illinois
Zip
61554-6233
Phone Number
309-347-6514
Fax Number
309-347-6146
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0039370 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
0039370 (Illinois)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
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