Organization
MAPLE HOUSE SHELTER CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA L. JONES (PRESIDENT)
(618) 983-5731
Entity
Organization
Contact information
Practice address
205 E 3RD ST, JOHNSTON CITY, IL 62951-1624
(618) 983-5731
(618) 983-7101
Mailing address
205 E 3RD ST, PO BOX 230, JOHNSTON CITY, IL 62951-1624
(618) 983-5731
(618) 983-7101
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
0038380
IL
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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