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Rave Residential Services, Inc.

Rave Residential Services, Inc. is a health care provider in Jonesboro, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1370 State Route 127 S, Jonesboro, IL 62952-2488, US
Practice Location Phone618-833-3235
Practice Location Fax618-833-3237
Legal Business NameRAVE RESIDENTIAL SERVICES, INC.
Other Organization NamePEACHTREE ESTATES
Other Organization Name TypeDoing Business As Name
NPI ?1245423979
Entity TypeOrganization
Enumeration Date ? Aug 27, 2007
Last Update Date ? Apr 20, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Rave Residential Services, Inc.

SpecialtySpecializationLicenseLicense State
Intermediate Care Facility, Mentally Retarded 0040626Illinois

legacy-id-icon Legacy Provider IDs of Rave Residential Services, Inc.

Provider IdIssuer StateIssuer TypeIssuer
=========001IllinoisMedicaid

official-icon Authorized Official of Rave Residential Services, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Rave Residential Services, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Gary L Griffith (L.N.H.A.)
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number618-833-5344