Organization
R&J ENTERPRISES COUNTRY LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CATES (ACTING DIRECTOR)
(618) 833-7418
Entity
Organization
Contact information
Practice address
221 EAST AVE, ANNA, IL 62906-1903
(618) 833-7418
(618) 833-5400
Mailing address
221 EAST AVE, ANNA, IL 62906-1903
(618) 833-7418
(618) 833-5400
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199400203S
IL
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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