NPI 1104047174 RESIDENTIAL OPTIONS, INC. ALTON IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Residential Options, Inc. - NPI: 1104047174

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: RESIDENTIAL OPTIONS, INC.
NPI Number: 1104047174
Entity Type Code: Organizational (2)
Authorized Official Name: SUSAN L STAFSTROM
(ACCOUNTING MANAGER)
Mailing Address: 4617 Wonderland Dr
Alton
State: IL US
Postal Code: 620027309
Phone Number: 6184658845
Fax Number: 6184634890
NPI Enumeration Date: 05/01/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320900000X
License Number: 0039123
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
Taxonomy Specialization:
Taxonomy Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.


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