Organization
FRANCES HOUSE INC
Active
Other names
Pine Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J WILSON (AUTHORIZED AGENT)
(309) 343-1550
Entity
Organization
Contact information
Practice address
2017 N PINE ST, WAUKEGAN, IL 60087-4829
(309) 343-1550
Mailing address
2017 N PINE ST, WAUKEGAN, IL 60087-4829
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364143612002
—
IL
Enumeration date
03/12/2014
Last updated
03/12/2014
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