Organization
RCAP ENTERPRISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN CARTER-POTTER (COO)
13093694277
Entity
Organization
Contact information
Practice address
1101 W HALLOCK HOLLOW RD, EDELSTEIN, IL 61526-9789
(309) 249-3829
Mailing address
1101 W HALLOCK HOLLOW RD, EDELSTEIN, IL 61526-9789
(309) 249-3829
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199700011S
IL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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