Organization Name: | RRAF |
NPI Number: | 1053359406 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILYN J FLANAGAN (EXECUTIVE DIRECTOR & SR. VP) |
Mailing Address: | 613 South Main Street Lombard |
State: | IL US |
Postal Code: | 60148 |
Phone Number: | 6304957723 |
Fax Number: | 6304957723 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |