Southeastern Residential Alternatives, Inc.
NPI #1265897201 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1265897201
- Entity Type
- Organization
- Organization Name
- Southeastern Residential Alternatives, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 17, 2015
- Last Updated
- Dec 17, 2015
Practice Location
- Address
- 125 W CLARK ST
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2738
- Phone
- (618) 272-5007
Authorized Official
- Name
- GRANT CAPE
- Title
- PRESIDENT OF THE BOARD
- Phone
- (618) 272-5007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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