Organization
RINCKER RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R. GILLIS (ADMINISTRATOR)
(618) 945-2091
Entity
Organization
Contact information
Practice address
1216 WILLOW DR, OLNEY, IL 62450-2483
(618) 395-7190
Mailing address
900 E. CORPORATION, BRIDGEPORT, IL 62417
(618) 945-2091
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
97S015
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0782
PROGRAM CODE
IL
Enumeration date
01/03/2007
Last updated
08/22/2020
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