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.
|Practice Location|| 1370 State Route 127 S, Jonesboro, IL 62952-2488, US |
|Practice Location Phone||618-833-3235|
|Practice Location Fax||618-833-3237|
|Legal Business Name||RAVE RESIDENTIAL SERVICES, INC.|
|Other Organization Name||PEACHTREE ESTATES|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Aug 27, 2007|
|Last Update Date ? ||Apr 20, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Rave Residential Services, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Intermediate Care Facility, Mentally Retarded||Nursing & Custodial Care Facilities|| ||0040626||Illinois|
Legacy Provider IDs of Rave Residential Services, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||ADMINISTRATOR|
|Authorized Official Phone Number||618-833-5344|