RESIDENTIAL ALTERNATIVES OF ILLINOIS INC NPI 1225296858

NPI Information

RESIDENTIAL ALTERNATIVES OF ILLINOIS INC is an assisted living facility in Freeport, IL. The provider is 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. RESIDENTIAL ALTERNATIVES OF ILLINOIS INC NPI is 1225296858. The provider is registered as an organization entity type.
The provider Is Doing Business As Hawthorne Inn Of Freeport.

The provider's business location address is:

2140 WEST NAVAJO DRIVE
FREEPORT, IL
ZIP 61032-803
Phone: (815) 235-0778
Fax: (815) 232-3407

The provider's authorized official is Ronald J Wilson .
The authorized official title is Authorized Agent and has the following contact phone number (309) 343-1550.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 5/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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