Organization · NPI-2

Community Care Systems, INC

In Home Supportive Care · Springfield, IL

NPI number1740692946
StatusActive
Last updated in NPPESOct 14, 2016

Details

NPI
1740692946
Entity type
Organization (NPI-2)
Legal business name
Community Care Systems, INC
Organization subpart
No
Enumeration date
May 22, 2014
Last updated
Oct 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

1320 S 2nd St
Springfield, IL 62704-3868

Phone 217-522-2273 · Fax 217-522-6082

Mailing address

405 N Macarthur Blvd
Springfield, IL 62702-2312

Phone 217-698-0200 · Fax 217-698-9862

Authorized official

Frank J Vala
Ceo
2176980200

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