Organization
EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY COFFEY (FISCAL & TECHNOLOGY MANAGER)
(309) 829-2065
Entity
Organization
Contact information
Practice address
1003 MAPLE HILL RD, BLOOMINGTON, IL 61705-9327
(309) 829-2065
(309) 829-6021
Mailing address
1003 MAPLE HILL RD, BLOOMINGTON, IL 61705-9327
(309) 829-2065
(309) 829-6021
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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