NPI 1073643953
Residential Horizons INC.
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
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.