NPI 1588784136
Maple House Shelter Care Home, INC.
Practice location
- Address
- 205 E 3rd St, Johnston City, IL 62951-1624
- Phone
- (618) 983-5731
- Fax
- (618) 983-7101
- Mailing address
- 205 E 3rd St PO Box 230, Johnston City, IL 62951-1624
Authorised official
- Name
- Rhonda L. Jones
- Title
- President
- Phone
- (618) 983-5731
Registered specialties
Lodging Provider
Primary
Registry record
- NPI
- 1588784136
- Entity type
- Organization
- NPI issued
- 29 Mar 2007
- Record last updated
- 22 Aug 2020
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.