Provider Demographics
NPI:1013343136
Name:RIVER TO RIVER COMMUNITY OF MARION
Entity type:Organization
Organization Name:RIVER TO RIVER COMMUNITY OF MARION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTER HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-993-7533
Mailing Address - Street 1:1515 E DEYOUNG ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-5097
Mailing Address - Country:US
Mailing Address - Phone:618-993-7533
Mailing Address - Fax:
Practice Address - Street 1:1515 E DEYOUNG ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-5097
Practice Address - Country:US
Practice Address - Phone:618-993-7533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility