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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