Organization Name: | PATTERSON HOUSE, INC. |
NPI Number: | 1326226564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICKI M PALMER (RESIDENTIAL SERVICE DIRECTOR) |
Mailing Address: | 1221 S Plum St Carlinville |
State: | IL US |
Postal Code: | 626262048 |
Phone Number: | 2178549443 |
Fax Number: | 2178549324 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 5546PT |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |