NPI 1093110066

Ottawa Friendship House Work Activity Center, INC

Organisation Intellectual Disabilities Intermediate Care Facility Streator, IL

Practice location

Address: 600 West 12th Street, Streator, IL 61364
Phone: (815) 673-1182
Fax: (815) 673-3231
Mailing address: 1718 N 2525th Rd, Ottawa, IL 61350-9329

Authorised official

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

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1093110066
Entity type: Organization
NPI issued: 3 Nov 2014
Record last updated: 3 Nov 2014

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.