Villa House, Inc
Villa House, Inc is an Exclusive Provider Organization in Johnston City, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1112 Washington AveJohnston City, IL 62951-1536
Phone: (618) 983-8513
Fax: (618) 983-8513
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 94S200 (IL) |
|---|
Record details
| NPI number | 1346363553 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robin Dodson — Exec. Director · (618) 983-8513 |
| Other names | Villa House, Inc |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1112 Washington Ave, P O Box 299, Johnston City, IL 62951-1536 |