Organization
PATTERSON HOUSE, INC.
Active
Other names
Marigold Estates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH SLOAN QMRP (RSD)
(309) 347-6514
Entity
Organization
Contact information
Practice address
3240 BARNEY AVE, PEKIN, IL 61554-6233
(309) 347-6514
(309) 347-6146
Mailing address
PO BOX 25527, DECATUR, IL 62525-5527
(217) 422-6510
(217) 422-6819
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0039370
IL
343800000X
Secured Medical Transport (VAN)
0039370
IL
Other
Enumeration date
04/07/2008
Last updated
06/24/2008
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