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Organization
RESIDENTIAL HORIZONS INC.
Active
Organization
RESIDENTIAL HORIZONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA MARIE BRACKENBUSH (PRESIDENT)
(217) 287-1484
Entity
Organization
Contact information
Practice address
815 E VINE ST, TAYLORVILLE, IL 62568-1932
(217) 287-1484
(217) 287-1010
Mailing address
PO BOX 640, PANAMA, IL 62077-0640
(217) 287-1484
(217) 287-1010
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0040766
IL
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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