NPI 1023466489

Ottawa Friendship House

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Ottawa, IL

Practice location

Address: 810 W Main St, Ottawa, IL 61350-2679
Phone: (815) 324-5049
Mailing address: 1718 N 2525th Rd, Ottawa, IL 61350-9329

Authorised official

Name: Beth Mangold
Title: Executive Director
Phone: (815) 434-0737

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 201600004S (IL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1023466489
Entity type: Organization
NPI issued: 26 May 2016
Record last updated: 26 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.