CARDINAL HOUSE INC
Residential Treatment Facilities at Douglas St, Anna, IL

License number
Illinois 965010
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. GREGORY MICHAEL BLAKELY PT QMRP
Title: EX DIR SE
Phone: (618) 833-7756
Address
Address
200 Douglas St, Anna, IL 62906
National Provider ID: 1427236900
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Cardinal House, Inc

Anna, IL

Industry:
Specialty Outpatient Clinic
Phone:
(618) 833-4079 (Phone)
Addresses:
200 Douglas St, Anna, IL 62906
PO Box 622, Anna, IL 62906
Executive Director, Administrations:
Gregory M. Blakely (Ex Dir Se, Executive Director),Greg Blakey Executive Director, Administration, inactive

Cardinal House Inc

119 Casey St, Anna, IL 62906

Categories:
Electronic Commerce, Group Homes
Phone:
(618) 833-4079 (Phone), (618) 833-9380 (Fax)
Additional:
Group Homes

CARDINAL HOUSE, INC

Anna, IL 62906

Registration:
Nov 16, 1995
State ID:
58592447
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Dedria Blakely,PO Box 622, Anna, IL 62906 (Physical)

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