Organization
MARION COUNTY HORIZON CENTER D/B/A RICHLAND MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA M ARMBRUST (MANAGER)
(618) 548-0309
Entity
Organization
Contact information
Practice address
1066 WEST MAIN ST, OLNEY, IL 62450
(618) 395-2437
(618) 392-2673
Mailing address
122 NORTH HOTZE RD, P.O. BOX 745, SALEM, IL 62881
(618) 548-0309
(618) 548-3720
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0036285
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
201200007M
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201200007M
DEPARTMENT OF HUMAN SERVICES, PROVISIONAL CILA LICENSE
IL
Enumeration date
08/05/2007
Last updated
09/17/2012
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