Provider Demographics
NPI:1740453547
Name:HOUSING AUTHORITY OF JOLIET
Entity type:Organization
Organization Name:HOUSING AUTHORITY OF JOLIET
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-727-0611
Mailing Address - Street 1:400 N BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-7221
Mailing Address - Country:US
Mailing Address - Phone:815-823-8905
Mailing Address - Fax:815-727-0611
Practice Address - Street 1:400 N BLUFF ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-7221
Practice Address - Country:US
Practice Address - Phone:815-823-8905
Practice Address - Fax:815-727-0611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-12
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid