Central Illinois Agency On Aging, Inc.

NPI #1205382900 in Peoria, Illinois

Provider Information

NPI Number: 1205382900
Entity Type: Organization
Organization Name: Central Illinois Agency On Aging, Inc.
Primary Specialty: Case Management
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 700 HAMILTON BLVD
City: Peoria
State: Illinois
ZIP Code: 61603
Phone: (309) 550-5811

Authorized Official

Name: MR. KEITH A RIDER
Title: PRESIDENT/CEO
Phone: (309) 674-2071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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