| NPI | 1043980808 |
|---|---|
| Former Legal Business Name | PATRIOTS HOUSECALLS LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE DEVADOSS Owner 217-735-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-10-21 |