# RITA ARMBRUST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Randolph House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134311277
- **Authorized official:** MRS. RITA M ARMBRUST (OWNER)
- **Authorized official phone:** (618) 548-0309

## Contact information

- **Practice address:** 404 S 1ST ST, VANDALIA, IL 62471-0279
- **Practice address phone:** (618) 283-0689
- **Mailing address:** PO BOX 871, SALEM, IL 62881-0871
- **Mailing address phone:** (618) 548-0309
- **Mailing address fax:** (618) 548-3720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | 0031633 | IL | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 10/08/2008