GLENWOOD HOUSE RESIDENTIAL CARE, INC. is an intermediate care facility mentally retarded in Streator, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GLENWOOD HOUSE RESIDENTIAL CARE, INC. NPI is 1205014727. The provider is registered as an organization entity type.
The provider's business location address is:
300 W 12TH ST
STREATOR, IL
ZIP 61364-301
Phone: (815) 673-1182
Fax: (815) 673-3231
The provider's authorized official is Ralph S Gomes .
The authorized official title is President and has the following contact phone number (815) 673-1182.
The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.