Organization
BCMW COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA SWANGO (CFO)
(618) 532-3667
Entity
Organization
Contact information
Practice address
909 E REXFORD ST, CENTRALIA, IL 62801-3033
(618) 532-3667
Mailing address
909 E REXFORD ST, CENTRALIA, IL 62801-3033
(618) 532-3667
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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