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Patterson House Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Carlinville, Illinois
NPI 1629424312

Patterson House Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Decatur, IL. Patterson House Inc practices in Carlinville, IL. The NPI Number for Patterson House Inc is 1629424312 and holds a License No. (Illinois).

The current practice location address for Patterson House Inc is 522 S Broad St, Carlinville, IL and can be reached out via phone at 217-930-2135.

Location: 522 S Broad St, Carlinville, IL, 62521-9067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629424312
Provider Name
Patterson House Inc
Credential
Provider Entity Type
Organization
Address
522 S Broad St, Carlinville, IL, 62521-9067
Phone Number
217-930-2135
Fax Number
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
522 S Broad St
City
Carlinville
State
Illinois
Zip
62626-2114
Phone Number
217-930-2135
Fax Number
person
Provider Business Mailing Address Details
Address
522 S Broad St
City
Carlinville
State
Illinois
Zip
62626-2114
Phone Number
217-930-2135
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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