NPI 1073643474

Epic, INC.

Organisation Case Management Agency Peoria, IL

Practice location

Address: 1913 W Townline Rd, Peoria, IL 61615-1621
Phone: (309) 691-3800
Fax: (309) 689-3613
Mailing address: PO Box 3418 1913 Townline Road, Peoria, IL 61612-3418

Authorised official

Name: Julia Kim Cornwell
Title: Ceo
Phone: (309) 691-3800

Registered specialties (4)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1073643474
Entity type: Organization
NPI issued: 6 Mar 2007
Record last updated: 1 Jun 2016

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.