Organization
SOUTHWESTERN ILLINOIS COLLEGE PROGRAMS FOR OLDER PSREONS
Active
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
Update your record
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