Community Care Systems, INC
In Home Supportive Care in Rockford, IL. Organization (NPI-2).
NPI number1265844450
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1265844450
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care Systems, INC
- Organization subpart
- No
- Enumeration date
- May 22, 2014
- Last updated
- Oct 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
3600 E State StSuiite 328
Rockford, IL 61108-1978
Phone 815-397-0410 · Fax 815-397-0330
Mailing address
405 N Macarthur BlvdSpringfield, IL 62702-2312
Phone 217-698-0200 · Fax 217-698-9862
Authorized official
Frank J. Vala
Ceo
2176980200
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