Organization
SOUTHWESTERN ILLINOIS COLLEGE PROGRAMS FOR OLDER PSREONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI ROSE (EXECUTIVE DIRECTOR)
(618) 234-4410
Entity
Organization
Contact information
Practice address
201 N CHURCH ST, BELLEVILLE, IL 62220-4005
(618) 234-4410
(618) 234-8634
Mailing address
201 N CHURCH ST, BELLEVILLE, IL 62220-4005
(618) 234-4410
(618) 234-8634
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IL
Other
Enumeration date
05/31/2005
Last updated
07/21/2022
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