Organization
EGYPTIAN AREA AGENCY ON AGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M SMITH (EXECUTIVE DIRECTOR)
(618) 985-8311
Entity
Organization
Contact information
Practice address
200 E PLAZA DR, CARTERVILLE, IL 62918-1982
(618) 985-8311
(618) 985-8315
Mailing address
200 E PLAZA DR, CARTERVILLE, IL 62918-1982
(618) 985-8311
(618) 985-8315
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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