Peoria Cnty Bd for Care Cfc 14

NPI #1720257587 in Peoria, Illinois

Provider Information

NPI Number: 1720257587
Entity Type: Organization
Organization Name: Peoria Cnty Bd for Care Cfc 14
Primary Specialty: Case Management
Enumeration Date: Feb 26, 2008
Last Updated: Apr 20, 2008

Practice Location

Address: 2016 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61603-2415
Phone: (309) 999-7001

Authorized Official

Name: MRS. CAROL ANN JANSZEN
Title: ADMINISTRATOR
Phone: (309) 999-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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