Easter Seals-Ucp

NPI #1376979195 in West Peoria, Illinois

Provider Information

NPI Number: 1376979195
Entity Type: Organization
Organization Name: Easter Seals-Ucp
Subpart: Yes (part of a larger organization)
Parent Organization: EASTER SEALS-UCP
Primary Specialty: Case Management
Enumeration Date: Sep 25, 2013
Last Updated: Sep 25, 2013

Practice Location

Address: 3000 W ROHMANN AVE
City: West Peoria
State: Illinois
ZIP Code: 61604-4842
Phone: (309) 672-6360

Authorized Official

Name: MR. JAMES L RUNYON
Title: EX VP
Phone: (309) 686-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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