Organization
PLCCA,INC.
Active
Parent organization
PLCCA,INC.
Other names
Proviso Leyden Council for Community Action
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLCCA,INC.
Authorized official
MR. CLAUDE PORTER BISHOP (PASTOR)
(708) 450-3506
Entity
Organization
Contact information
Practice address
411 MADISON ST, MAYWOOD, IL 60153-2136
(708) 450-3500
(708) 236-5186
Mailing address
411 MADISON ST, MAYWOOD, IL 60153-2136
(708) 450-3500
(708) 236-5186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0-577-0183-P
IL
Other
Enumeration date
02/04/2008
Last updated
04/20/2008
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