Provider Demographics
NPI:1083048466
Name:RESIDENTIAL HOME ASSOCIATION OF MARION, INC.
Entity Type:Organization
Organization Name:RESIDENTIAL HOME ASSOCIATION OF MARION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:GUINTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-387-9999
Mailing Address - Street 1:2722 HARDING HWY E
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8532
Mailing Address - Country:US
Mailing Address - Phone:740-387-9999
Mailing Address - Fax:740-387-7639
Practice Address - Street 1:2722 HARDING HWY E
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8532
Practice Address - Country:US
Practice Address - Phone:740-387-9999
Practice Address - Fax:740-387-7639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities