Provider Demographics
NPI:1346521598
Name:HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES
Entity Type:Organization
Organization Name:HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:POLKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-465-4118
Mailing Address - Street 1:118 E COURT ST
Mailing Address - Street 2:P.O. BOX 1118
Mailing Address - City:PARIS
Mailing Address - State:IL
Mailing Address - Zip Code:61944-2210
Mailing Address - Country:US
Mailing Address - Phone:217-465-4118
Mailing Address - Fax:217-463-1899
Practice Address - Street 1:118 E COURT ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:IL
Practice Address - Zip Code:61944-2210
Practice Address - Country:US
Practice Address - Phone:217-465-4118
Practice Address - Fax:217-463-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251B00000X, 251C00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services