Organization
RAVE RESIDENTIAL SERVICES, INC
Active
Other names
Orchard Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L GRIFFITH L.N.H.A. (ADMINISTRATOR)
(618) 833-5344
Entity
Organization
Contact information
Practice address
1430 STATE ROUTE 127 S, JONESBORO, IL 62952-2489
(618) 833-8033
(618) 833-8035
Mailing address
1390 STATE ROUTE 127 S, JONESBORO, IL 62952-2488
(618) 833-5377
(618) 833-8217
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0040970
IL
Other
Enumeration date
08/27/2007
Last updated
04/20/2008
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