| NPI | 1942473327 |
|---|---|
| Doing Business As | PATTERSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | VERONIKA WILSON Rsd 217-728-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 0037341) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: IL 0037341) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-24 |