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Ottawa Friendship House Work Activity Center, Inc
Intellectual Disabilities Intermediate Care Facility in Streator, Illinois
NPI 1093110066

Ottawa Friendship House Work Activity Center, Inc is a Intellectual Disabilities Intermediate Care Facility based in Ottawa, IL. Ottawa Friendship House Work Activity Center, Inc practices in Streator, IL. The NPI Number for Ottawa Friendship House Work Activity Center, Inc is 1093110066 and holds a License No. (Illinois).

The current practice location address for Ottawa Friendship House Work Activity Center, Inc is 600 West 12Th Street, Streator, IL and can be reached out via phone at 815-673-1182 and via fax at 815-673-3231.

Location: 600 West 12Th Street, Streator, IL, 61350-9329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093110066
Provider Name
Ottawa Friendship House Work Activity Center, Inc
Credential
Provider Entity Type
Organization
Address
600 West 12Th Street, Streator, IL, 61350-9329
Phone Number
815-673-1182
Fax Number
815-673-3231
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14G282 05 IL
institution
Provider Business Practice Location Address Details
Address
600 West 12Th Street
City
Streator
State
Illinois
Zip
61364
Phone Number
815-673-1182
Fax Number
815-673-3231
person
Provider Business Mailing Address Details
Address
600 West 12Th Street
City
Streator
State
Illinois
Zip
61364
Phone Number
815-673-1182
Fax Number
815-673-3231
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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.
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