Organization
ALPHA OMEGA CONSULTING, INC.
Active
Other names
Eastside Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA CORNELL (PRESIDENT)
(217) 422-4725
Entity
Organization
Contact information
Practice address
3850 E FULTON AVE, DECATUR, IL 62521-5088
(217) 422-4884
(217) 422-4122
Mailing address
3850 E FULTON AVE, DECATUR, IL 62521-5088
(217) 422-4884
(217) 422-4122
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0046979
IL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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