Organization
OTTAWA FRIENDSHIP HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH MANGOLD (EXECUTIVE DIRECTOR)
(815) 434-0737
Entity
Organization
Contact information
Practice address
810 W MAIN ST, OTTAWA, IL 61350-2679
(815) 324-5049
Mailing address
1718 N 2525TH RD, OTTAWA, IL 61350-9329
(815) 434-0737
(815) 434-0493
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201600004S
IL
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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