Organization
ALPHA OMEGA CONSULTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA DENISE CORNELL (PRESIDENT)
(407) 977-4926
Entity
Organization
Contact information
Practice address
805 E JOHNS AVE, DECATUR, IL 62521-2681
(217) 422-4725
(217) 422-9197
Mailing address
805 E JOHNS AVE, DECATUR, IL 62521-2681
(217) 422-4725
(217) 422-9197
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201200010S
IL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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