Organization
RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
Active
Other names
Manor Court of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J WILSON (CFO)
(309) 343-1550
Entity
Organization
Contact information
Practice address
6900 N STALWORTH DR, PEORIA, IL 61615-9488
(309) 693-1400
(309) 683-3561
Mailing address
6906 N STALWORTH DR, PEORIA, IL 61615-9488
(309) 693-1400
(309) 683-3561
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0047068
IL
Other
Enumeration date
08/30/2006
Last updated
10/07/2008
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