Provider Demographics
NPI:1659649408
Name:RESIDENTIAL OPTIONS, INC.
Entity Type:Organization
Organization Name:RESIDENTIAL OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEBBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-465-0044
Mailing Address - Street 1:4 EMMIE L KAUS LN
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-8865
Mailing Address - Country:US
Mailing Address - Phone:618-465-0044
Mailing Address - Fax:618-462-4124
Practice Address - Street 1:1400 UNION ST
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-6508
Practice Address - Country:US
Practice Address - Phone:618-462-5871
Practice Address - Fax:618-474-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities