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General NPI Number Information
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NPI Number | 1992092340
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Entity Type | Organization
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Legal Business Name | RESIDENTIAL OPTIONS, INC.
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1017 OAKWOOD AVE
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City | ALTON
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State | IL
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Zip | 62002-5278
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Country | US
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Telephone | 618-462-8455
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Fax | 618-465-5610
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Provider Business Mailing Address
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Address Line | 4 EMMIE L KAUS LN
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City | ALTON
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State | IL
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Zip | 62002-8865
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Country | US
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Telephone | 618-465-0044
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Fax | 618-462-4124
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DIANE TEBBE
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Credential |
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Telephone | 618-465-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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