Provider Demographics
NPI:1801067186
Name:MACOUPIN COUNTY HOUSING AUTHORITY
Entity type:Organization
Organization Name:MACOUPIN COUNTY HOUSING AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-854-8606
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:CARLINVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62626-0662
Mailing Address - Country:US
Mailing Address - Phone:217-854-8142
Mailing Address - Fax:217-854-9600
Practice Address - Street 1:1050 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CARLINVILLE
Practice Address - State:IL
Practice Address - Zip Code:62626-9202
Practice Address - Country:US
Practice Address - Phone:217-854-8142
Practice Address - Fax:217-854-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL001310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility