NPI 1073786562

Patterson House, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Pekin, IL

Practice location

Address: 3240 Barney Ave, Pekin, IL 61554-6233
Phone: (309) 347-6514
Fax: (309) 347-6146
Mailing address: PO Box 25527, Decatur, IL 62525-5527

Authorised official

Name: Rich Sloan
Title: Rsd
Phone: (309) 347-6514

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0039370 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Secured Medical Transport (VAN)

Transportation Services Taxonomy 343800000X Licence 0039370 (IL)

Other Secured Medical Transport (VAN) providers in Illinois →

Registry record

NPI: 1073786562
Entity type: Organization
NPI issued: 7 Apr 2008
Record last updated: 24 Jun 2008

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.