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Peoria Cnty Bd For Care Cfc 14

Case Management in Peoria, IL. Organization (NPI-2).

NPI number1720257587
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1720257587
Entity type
Organization (NPI-2)
Legal business name
Peoria Cnty Bd For Care Cfc 14
Organization subpart
No
Enumeration date
Feb 26, 2008
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

2016 N Knoxville Ave
Peoria, IL 61603-2415

Phone 309-999-7001 · Fax 309-681-0190

Mailing address

2016 N Knoxville Ave
Peoria, IL 61603-2415

Phone 309-999-7001 · Fax 309-681-0190

Authorized official

Carol Ann Janszen
Administrator
3099997001

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