OrganizationActive
Maple House Shelter Care Home, Inc.
NPI 1588784136 · Lodging Provider · Johnston City, IL
Provider details
- NPI number
- 1588784136
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Rhonda Jones, President(618) 983-5731
- License
- 0038380 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
205 E 3rd St
Johnston City, IL 62951-1624
Phone: (618) 983-5731
Fax: (618) 983-7101
Approximate (ZIP-level) locationGet directions
Mailing address
205 E 3rd St
Johnston City, IL 62951-1624
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.