Organization Name: | RESIDENTIAL ALTERNATIVES OF ILLINOIS INC |
NPI Number: | 1023285566 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD J WILSON (AUTHORIZED AGENT) |
Mailing Address: | 140 North Sixth Street Princeton |
State: | IL US |
Postal Code: | 613561878 |
Phone Number: | 8158756600 |
Fax Number: | 8158756005 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |