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Patterson House, Inc.
Non-emergency Medical Transport (VAN) in Canton, Illinois
NPI 1548433154

Patterson House, Inc. is a Non-emergency Medical Transport (VAN) based in Decatur, IL. Patterson House, Inc. practices in Canton, IL. The NPI Number for Patterson House, Inc. is 1548433154 and holds a License No. 0039354 (Illinois).

The current practice location address for Patterson House, Inc. is 1577 E Myrtle St, Canton, IL and can be reached out via phone at 309-647-6604 and via fax at 309-647-0440.

Location: 1577 E Myrtle St, Canton, IL, 62525-5527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548433154
Provider Name
Patterson House, Inc.
Credential
Provider Entity Type
Organization
Address
1577 E Myrtle St, Canton, IL, 62525-5527
Phone Number
309-647-6604
Fax Number
309-647-0440
Provider Enumeration Date
04/04/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1577 E Myrtle St
City
Canton
State
Illinois
Zip
61520-1520
Phone Number
309-647-6604
Fax Number
309-647-0440
person
Provider Business Mailing Address Details
Address
1577 E Myrtle St
City
Canton
State
Illinois
Zip
61520-1520
Phone Number
309-647-6604
Fax Number
309-647-0440
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0039354 (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
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
0039354 (Illinois)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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