Provider Demographics
NPI:1518214246
Name:COMMUNITY RESEARCH RESOURCE INFORMATION AND SERVICES FOR SENIORS, INC.
Entity Type:Organization
Organization Name:COMMUNITY RESEARCH RESOURCE INFORMATION AND SERVICES FOR SENIORS, INC.
Other - Org Name:CRIS HEALTHY-AGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-443-2999
Mailing Address - Street 1:309 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-4509
Mailing Address - Country:US
Mailing Address - Phone:217-443-2999
Mailing Address - Fax:217-443-4288
Practice Address - Street 1:309 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-4509
Practice Address - Country:US
Practice Address - Phone:217-443-2999
Practice Address - Fax:217-443-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management