OTTAWA FRIENDSHIP HOUSE WORK ACTIVITY CENTER, INC is an intermediate care facility mentally retarded in Ottawa, IL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. OTTAWA FRIENDSHIP HOUSE WORK ACTIVITY CENTER, INC NPI is 1477958528. The provider is registered as an organization entity type.
The provider Is Doing Business As Sullivan House.
The provider's business location address is:
600 GROVER AVE
OTTAWA, IL
ZIP 61350-140
Phone: (815) 433-5858
The provider's authorized official is Beth Ann Mangold .
The authorized official title is Executive Director and has the following contact phone number (815) 434-0737.
The CLIA number assigned to this NPI record is 14D2210990 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/31/2014 and was last updated on 10/31/2014.