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Sullivan House Residential Care, Inc.
Intellectual Disabilities Intermediate Care Facility in Ottawa, Illinois
NPI 1487832903

Sullivan House Residential Care, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Ottawa, IL. Sullivan House Residential Care, Inc. practices in Ottawa, IL. The NPI Number for Sullivan House Residential Care, Inc. is 1487832903 and holds a License No. 0034140 (Illinois).

The current practice location address for Sullivan House Residential Care, Inc. is 600 Grover Ave, Ottawa, IL and can be reached out via phone at 815-433-5858 and via fax at 815-673-3231. You can also correspond with Sullivan House Residential Care, Inc. through the mailing address at 600 GROVER AVE, OTTAWA, IL - 61350-4140 (mailing address contact number: 815-433-5858).

Location: 600 Grover Ave, Ottawa, IL, 61350-4140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487832903
Provider Name
Sullivan House Residential Care, Inc.
Credential
Provider Entity Type
Organization
Address
600 Grover Ave, Ottawa, IL, 61350-4140
Phone Number
815-433-5858
Fax Number
815-673-3231
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 Grover Ave
City
Ottawa
State
Illinois
Zip
61350-4140
Phone Number
815-433-5858
Fax Number
815-673-3231
person
Provider Business Mailing Address Details
Address
600 Grover Ave
City
Ottawa
State
Illinois
Zip
61350-4140
Phone Number
815-433-5858
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.
0034140 (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.
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