Whalio Doctors

NPI 1073643953

Residential Horizons INC.

Organisation Intellectual Disabilities Intermediate Care Facility Taylorville, IL

Practice location

Address
815 E Vine St, Taylorville, IL 62568-1932
Phone
(217) 287-1484
Fax
(217) 287-1010
Mailing address
PO Box 640, Panama, IL 62077-0640

Authorised official

Name
Anna Marie Brackenbush
Title
President
Phone
(217) 287-1484

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0040766 (IL)

Registry record

NPI
1073643953
Entity type
Organization
NPI issued
7 Mar 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.