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Rave Residential Services, Inc
Intellectual Disabilities Intermediate Care Facility in Jonesboro, Illinois
NPI 1720116262

Rave Residential Services, Inc is a Intellectual Disabilities Intermediate Care Facility based in Jonesboro, IL. Rave Residential Services, Inc practices in Jonesboro, IL. The NPI Number for Rave Residential Services, Inc is 1720116262 and holds a License No. 0040626 (Illinois).

The current practice location address for Rave Residential Services, Inc is 1390 State Route 127 S, Jonesboro, IL and can be reached out via phone at 618-833-5344 and via fax at 618-833-8217.

Location: 1390 State Route 127 S, Jonesboro, IL, 62952-2488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720116262
Provider Name
Rave Residential Services, Inc
Credential
Provider Entity Type
Organization
Address
1390 State Route 127 S, Jonesboro, IL, 62952-2488
Phone Number
618-833-5344
Fax Number
618-833-8217
Provider Enumeration Date
02/28/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1390 State Route 127 S
City
Jonesboro
State
Illinois
Zip
62952-2488
Phone Number
618-833-5344
Fax Number
618-833-8217
person
Provider Business Mailing Address Details
Address
1390 State Route 127 S
City
Jonesboro
State
Illinois
Zip
62952-2488
Phone Number
618-833-5344
Fax Number
618-833-8217
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0040626 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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