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
200 WESTGATE AVE, SALEM, IL 62881-2020
(618) 548-1613
(618) 548-2351
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
—
930
—
IL
Enumeration date
05/28/2014
Last updated
10/26/2016
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