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Organization
COMMUNITY SUPPORT SYSTEMS
Active
Organization
COMMUNITY SUPPORT SYSTEMS
Active
Other names
ARC Community Support Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW KISTLER (EXECUTIVE DIRECTOR)
(217) 705-4298
Entity
Organization
Contact information
Practice address
2311 VETERANS DRIVE, EFFINGHAM, IL 62401
(217) 718-3798
Mailing address
618 W MAIN ST, TEUTOPOLIS, IL 62467-1210
(217) 705-4300
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
08/15/2016
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