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Organization
ALPHA OMEGA CONSULTING, INC.
Active
Organization
ALPHA OMEGA CONSULTING, INC.
Active
Other names
Southside Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA CORNELL (PRESIDENT)
(217) 422-4725
Entity
Organization
Contact information
Practice address
729 S WEBSTER ST, DECATUR, IL 62521-2672
(217) 422-5478
(217) 422-2143
Mailing address
729 S WEBSTER ST, DECATUR, IL 62521-2672
(217) 422-5478
(217) 422-2143
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0046961
IL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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