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Marion County Horizon Center D/b/a Richland Manor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Olney, Illinois
NPI 1942491162

Marion County Horizon Center D/b/a Richland Manor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Salem, IL. Marion County Horizon Center D/b/a Richland Manor practices in Olney, IL. The NPI Number for Marion County Horizon Center D/b/a Richland Manor is 1942491162 and holds a License No. 0036285 (Illinois).

The current practice location address for Marion County Horizon Center D/b/a Richland Manor is 1066 West Main St, Olney, IL and can be reached out via phone at 618-395-2437 and via fax at 618-392-2673. You can also correspond with Marion County Horizon Center D/b/a Richland Manor through the mailing address at 122 NORTH HOTZE RD, SALEM, IL - 62881 (mailing address contact number: 618-548-0309).

Location: 1066 West Main St, Olney, IL, 62881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942491162
Provider Name
Marion County Horizon Center D/b/a Richland Manor
Credential
Provider Entity Type
Organization
Address
1066 West Main St, Olney, IL, 62881
Phone Number
618-395-2437
Fax Number
618-392-2673
Provider Enumeration Date
08/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201200007M 01 IL DEPARTMENT OF HUMAN SERVICES, PROVISIONAL CILA LICENSE
institution
Provider Business Practice Location Address Details
Address
1066 West Main St
City
Olney
State
Illinois
Zip
62450
Phone Number
618-395-2437
Fax Number
618-392-2673
person
Provider Business Mailing Address Details
Address
1066 West Main St
City
Olney
State
Illinois
Zip
62450
Phone Number
618-395-2437
Fax Number
618-392-2673
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
201200007M (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
0036285 (Illinois)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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