Rave Residential Services, Inc.
NPI #1245423979 in Jonesboro, Illinois
Provider Information
- NPI Number
- 1245423979
- Entity Type
- Organization
- Organization Name
- Rave Residential Services, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RAVE RESIDENTIAL SERVICES, INC.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Aug 27, 2007
- Last Updated
- Apr 20, 2008
Practice Location
Authorized Official
- Name
- MR. GARY L GRIFFITH, L.N.H.A.
- Title
- ADMINISTRATOR
- Phone
- (618) 833-5344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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