Organization
PEORIA CNTY BD FOR CARE CFC 14
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN JANSZEN (ADMINISTRATOR)
(309) 999-7001
Entity
Organization
Contact information
Practice address
2016 N KNOXVILLE AVE, PEORIA, IL 61603-2415
(309) 999-7001
(309) 681-0190
Mailing address
2016 N KNOXVILLE AVE, PEORIA, IL 61603-2415
(309) 999-7001
(309) 681-0190
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
04/20/2008
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