Whalio Doctors

NPI 1689837189

Peoria Association for Retarded Citizens INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Peoria, IL

Practice location

Address
4636 W Andover Dr, Peoria, IL 61615-2818
Phone
(309) 691-3800
Fax
(309) 689-3613
Mailing address
1913 W Townline Rd PO Box 3418, Peoria, IL 61615-1621

Authorised official

Name
Cindy Fletcher
Title
Vp Accounting
Phone
(309) 691-3800

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1689837189
Entity type
Organization
NPI issued
3 Jul 2008
Record last updated
3 Jul 2008

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.