Organization
RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
Active
Parent organization
RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
Other names
Freeport Rehab and Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
Authorized official
MR. RONALD J WILSON (CFO)
(309) 343-1550
Entity
Organization
Contact information
Practice address
900 SOUTH KIWANIS DRIVE, FREEPORT, IL 61032
(815) 235-6196
(815) 235-5365
Mailing address
285 SOUTH FARNHAM STREET, GALESBURG, IL 61401
(309) 343-1550
(309) 343-2857
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0049155
IL
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049155
LICENSE #
IL
Enumeration date
02/28/2008
Last updated
04/20/2015
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