SOUTHEASTERN IL AGENCY ON AGING, INC; NPI #1508235060

Contact Information

SOUTHEASTERN IL AGENCY ON AGING, INC

516 N MARKET ST
MOUNT CARMEL, IL 62863-1558

Phone: 618-262-2306
Fax: 618-262-4967
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for SOUTHEASTERN IL AGENCY ON AGING, INC

NPI #	`1508235060`
LBN Legal business name	SOUTHEASTERN IL AGENCY ON AGING, INC
Authorized official	SHANA HOLMES - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/15/2015
Last updated	09/15/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHEASTERN IL AGENCY ON AGING, INC

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for SOUTHEASTERN IL AGENCY ON AGING, INC

Reviews for SOUTHEASTERN IL AGENCY ON AGING, INC