Organization
CENTER FOR COMPREHENSIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO P CRUZ (CFO)
(781) 708-9444
Entity
Organization
Contact information
Practice address
1301 BROADWAY, PADUCAH, KY 42001
(502) 245-3774
(502) 254-8767
Mailing address
P.O. BOX 2825, 306 W. MILL ST, CARBONDALE, IL 62902
(615) 529-3060
(618) 529-2983
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17000514
—
KY
05
—
5440968
—
TN
Enumeration date
07/17/2009
Last updated
10/25/2021
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