Residential Options, Inc., NPI 1104047174
Intellectual Disabilities Intermediate Care Facility in Alton, IL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1104047174 |
| NPI Entity Type | Organization |
| Provider Name | Residential Options, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 4617 Wonderland Dr, Alton, IL, US |
| Provider Mailing Address | 4617 Wonderland Dr, Alton, IL, US, 620027309 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Diane Tebbe |
| Official Position | VP |
| Phone | 618-465-0044 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual Disabilities Intermediate Care Facility |
| Classification | |
| Group | |
| Description | An intermediate care facility providing services for individuals with intellectual disabilities. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
0039123 | IL | No |
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