Organization
COMMUNITY CARE SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK J. VALA (CEO)
(217) 698-0200
Entity
Organization
Contact information
Practice address
3600 E STATE ST, SUIITE 328, ROCKFORD, IL 61108-1978
(815) 397-0410
(815) 397-0330
Mailing address
405 N MACARTHUR BLVD, SPRINGFIELD, IL 62702-2312
(217) 698-0200
(217) 698-9862
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916
—
IL
Enumeration date
05/22/2014
Last updated
10/31/2016
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