Southeastern Il Agency On Aging, INC
NPI #1508235060 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1508235060
- Entity Type
- Organization
- Organization Name
- Southeastern Il Agency On Aging, INC
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Sep 15, 2015
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 516 N MARKET ST
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863-1558
- Phone
- (618) 262-2306
Authorized Official
- Name
- SHANA A HOLMES, BS,BA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 262-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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