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Organization
HEALTH CARE MANAGEMENT CORP
Active
Organization
HEALTH CARE MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA M ARMBRUST (ACCOUNTANT)
(618) 548-0309
Entity
Organization
Contact information
Practice address
403 N STATE RD, FLORA, IL 62839-1519
(618) 662-6440
(618) 662-4159
Mailing address
122 N HOTZE RD, P.O. BOX 871, SALEM, IL 62881-5237
(618) 548-0309
(618) 548-3720
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0031831
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
201200006M
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201200006M
DEPARTMENT OF HUMAN SERVICES, PROVISIONAL LICENSE
IL
Enumeration date
08/09/2007
Last updated
09/17/2012
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