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Organization
SENIOR SERVICES PLUS
Active
Organization
SENIOR SERVICES PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA L. COLLINS (DIRECTOR, CCP)
(618) 462-1391
Entity
Organization
Contact information
Practice address
2603 N RODGERS AVE, ALTON, IL 62002-5524
(618) 462-1391
(618) 462-7658
Mailing address
2603 N. RODGERS AVENUE, ALTON, IL 62002
(618) 462-1391
(618) 462-7658
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
0012622
MO
253Z00000X
In Home Supportive Care Agency
Primary
2046967
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012622
—
MO
Enumeration date
06/06/2012
Last updated
08/08/2013
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