NPI 1750556254

Peoria County Board for the Care & Treatment of Persons With a Develop

Organisation Case Management Agency Peoria, IL

Practice location

Address: 2016 N Knoxville Ave, Peoria, IL 61603-2415
Phone: (309) 999-7001
Fax: (309) 681-0190

Authorised official

Name: Carol A. Janszen
Title: Administrator
Phone: (309) 999-7001

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1750556254
Entity type: Organization
NPI issued: 25 Apr 2008
Record last updated: 25 Apr 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.