# VILLA HOUSE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa House, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346363553
- **Authorized official:** ROBIN DODSON (EXEC. DIRECTOR)
- **Authorized official phone:** (618) 983-8513

## Contact information

- **Practice address:** 1112 WASHINGTON AVE, JOHNSTON CITY, IL 62951-1536
- **Practice address phone:** (618) 983-8513
- **Practice address fax:** (618) 983-8513
- **Mailing address:** 1112 WASHINGTON AVE, P O BOX 299, JOHNSTON CITY, IL 62951-1536
- **Mailing address phone:** (618) 983-8513
- **Mailing address fax:** (618) 983-8513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 94S200 | IL | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020