Organization
PILOT HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN KELLER (ADMINISTRATOR)
(618) 734-3706
Entity
Organization
Contact information
Practice address
1111 WASHINGTON AVE, CAIRO, IL 62914-2046
(618) 734-3706
Mailing address
1111 WASHINGTON AVE, CAIRO, IL 62914-2046
(618) 734-3706
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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