Organization
SOUTHEASTERN IL AGENCY ON AGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA A HOLMES BS,BA (EXECUTIVE DIRECTOR)
(618) 262-2306
Entity
Organization
Contact information
Practice address
516 N MARKET ST, MOUNT CARMEL, IL 62863-1558
(618) 262-2306
(618) 262-4967
Mailing address
516 N MARKET ST, MOUNT CARMEL, IL 62863-1558
(618) 262-2306
(618) 262-4967
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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