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Organization
RITA ARMBRUST
Active
Organization
RITA ARMBRUST
Active
Other names
Randolph House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA M ARMBRUST (OWNER)
(618) 548-0309
Entity
Organization
Contact information
Practice address
404 S 1ST ST, VANDALIA, IL 62471-0279
(618) 283-0689
Mailing address
PO BOX 871, SALEM, IL 62881-0871
(618) 548-0309
(618) 548-3720
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0031633
IL
Other
Enumeration date
08/13/2007
Last updated
10/08/2008
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