NPI 1205382900

Central Illinois Agency on Aging, INC.

Organisation Case Management Agency Peoria, IL

Practice location

Address: 700 Hamilton Blvd, Peoria, IL 61603
Phone: (309) 550-5811
Mailing address: 700 Hamilton Blvd, Peoria, IL 61603-3617

Authorised official

Name: Keith a Rider
Title: President/Ceo
Phone: (309) 674-2071

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence U120604616 (IL)

Other Case Management providers in Illinois →

Registry record

NPI: 1205382900
Entity type: Organization
NPI issued: 1 Sep 2016
Record last updated: 1 Sep 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.