Organization
BELLEVILLE AREA SPECIAL SERVICES COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KOZUSZEK (BUSINESS MANAGER)
(618) 355-4786
Entity
Organization
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4786
(618) 355-4758
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4786
(618) 355-4758
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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