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Organization

FOX VALLEY OLDER ADULT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY ANN TROUTMAN (EXECUTIVE DIRECTOR)
(815) 786-9404
Entity
Organization

Contact information

Practice address
1406 SUYDAM RD, SANDWICH, IL 60548-1459
(815) 786-9404
Mailing address
1406 SUYDAM RD, SANDWICH, IL 60548-1459
(815) 786-9404

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
IL

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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