Organization
RESIDENTIAL OPTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TEBBE (VICE PRESIDENT)
(618) 465-0044
Entity
Organization
Contact information
Practice address
325 DEGENHARDT ST, ALTON, IL 62002-6825
(618) 462-0701
(618) 465-0056
Mailing address
4 EMMIE L KAUS LN, ALTON, IL 62002-8865
(618) 465-0044
(618) 465-0056
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199400229S
IL
Other
Enumeration date
01/12/2016
Last updated
07/21/2022
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