Illinois Rural Community Care Organization

Organization Active NPI Case Management Agency · Princeton, IL

NPI 1114305778 · NPPES record last updated May 14, 2015

Key facts

NPI
1114305778
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
041269745 (IL)
Legal business name
ILLINOIS RURAL COMMUNITY CARE ORGANIZATION
Practice address
245 Backbone Rd E
Princeton, IL 61356-8652
Phone
(815) 875-2999
NPI assigned
May 14, 2015
Organization subpart
No

Authorized official

Name
Angela Charlet, RN
Title
Director of Quality
Phone
(815) 875-2999

National Provider Directory

Locations

245 Backbone Rd E
Princeton, IL 61356
Phone (815) 875-2999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 041269745 IL Yes

Addresses

Primary practice location

245 Backbone Rd E
Princeton, IL 61356-8652

Mailing address

245 Backbone Rd E
Princeton, IL 61356-8652
Phone (815) 875-2999

Other providers in Princeton, IL

All providers in Princeton, IL · Case Management Agency in Illinois

Sources for this page

Verify at the official NPI Registry.