Organization
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Active
Other names
Hawthorne Inn of Freeport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J WILSON (AUTHORIZED AGENT)
(309) 343-1550
Entity
Organization
Contact information
Practice address
2140 WEST NAVAJO DRIVE, FREEPORT, IL 61032-7803
(815) 235-0778
(815) 232-3407
Mailing address
285 SOUTH FARNHAM STREET, GALESBURG, IL 61401-5323
(309) 343-1550
(309) 343-6318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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