Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE ROACH (EXECUTIVE DIRECTOR)
(217) 523-9201
Entity
Organization
Contact information
Practice address
247 W PRAIRIE AVE, DECATUR, IL 62523-1220
(217) 428-3458
(217) 428-4415
Mailing address
1625 W WASHINGTON ST, SPRINGFIELD, IL 62702-4757
(217) 523-9201
(217) 523-5624
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
180-004994
IL
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
08/26/2021
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