| Residential Options, Inc. | |
|
910 Esic Dr Edwardsville IL 62025-3812 | |
| (618) 692-1906 | |
| (618) 692-9522 |
| Full Name | Residential Options, Inc. |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 910 Esic Dr, Edwardsville, Illinois |
| Authorized Official Name and Position | Diane Tebbe (VICE PRESIDENT) |
| Authorized Official Contact | 6184650044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residential Options, Inc. 4 Emmie L Kaus Ln Alton IL 62002-8865 Ph: (618) 465-0044 | Residential Options, Inc. 910 Esic Dr Edwardsville IL 62025-3812 Ph: (618) 692-1906 |
| NPI Number | 1104111293 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104111293 | NPI | - | NPPES |
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