# COMMUNITY CONNECTIONS & NETWORKS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Connections & Networks LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720821358
- **Authorized official:** KISHA S CAIN MHA (OWNER)
- **Authorized official phone:** (601) 695-4399

## Contact information

- **Practice address:** 1041 EASTER ST, CRYSTAL SPRINGS, MS 39059-3021
- **Practice address phone:** (601) 695-4399
- **Mailing address:** 1041 EASTER ST, CRYSTAL SPRINGS, MS 39059-3021
- **Mailing address phone:** (601) 695-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024