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Organization
EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, INC.
Active
Organization
EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY COFFEY (FISCAL & TECHNOLOGY MANAGER)
(309) 829-2065
Entity
Organization
Contact information
Practice address
1003 MAPLE HILL RD, BLOOMINGTON, IL 61705-9327
(309) 829-2065
(309) 829-6021
Mailing address
1003 MAPLE HILL RD, BLOOMINGTON, IL 61705-9327
(309) 829-2065
(309) 829-6021
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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