Organization · Type 2 NPI
Rave Residential Services, Inc
Intellectual Disabilities Intermediate Care Facility · Jonesboro, IL
NPI number
1720116262
Active
Practice location
1390 State Route 127 S
Jonesboro, IL 62952-2488
Fax (618) 833-8217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0040626 (IL) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0040970 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Jonesboro
About NPI 1720116262
Rave Residential Services, Inc's National Provider Identifier is 1720116262, issued on Feb 28, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Jonesboro, IL. The record was last updated on Aug 22, 2020.