Rave Residential Services, INC

NPI #1720116262 in Jonesboro, Illinois

Provider Information

NPI Number
1720116262
Entity Type
Organization
Organization Name
Rave Residential Services, INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 28, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1390 STATE ROUTE 127 S
ZIP Code
62952-2488
Phone
(618) 833-5344

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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