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Organization
HOOSIER CARE, INC.
Active
Organization
HOOSIER CARE, INC.
Active
Other names
Walter Lawson Children's Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THEO ANN BRANDEL R.N. (EXECUTIVE DIRECTOR)
(815) 633-6636
Entity
Organization
Contact information
Practice address
1820 WALTER LAWSON DR, LOVES PARK, IL 61111-2757
(815) 633-6636
(815) 633-6387
Mailing address
1820 WALTER LAWSON DR, LOVES PARK, IL 61111-2757
(815) 633-6636
(815) 633-6387
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0035469
IL
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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