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Organization

CENTER FOR COMPREHENSIVE SERVICES, INC.

Active
Other names
NeuroRestorative
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT SHAW (EXEC. DIRECTOR)
(618) 529-3060
Entity
Organization

Contact information

Practice address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-3060
(618) 549-5284
Mailing address
PO BOX 2825, 306 WEST MILL STREET, CARBONDALE, IL 62902-2825
(618) 529-3060
(618) 549-5284

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
4000021
IL
283XC2000X
Children's Rehabilitation Hospital
313M00000X
Nursing Facility/Intermediate Care Facility
4000021
IL
314000000X
Skilled Nursing Facility
320700000X
Physical Disabilities Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090092
IA
01
039-19396
BCBS IL OUTPATIENT
05
0650077
IA
05
0650275
IA
05
0650283
IA
05
100379610A
IN
05
100389900B
KS
05
2005-29-001-K1
IL
05
45913258
KY
05
5440970
TN
01
V69DP-3420
VA
Enumeration date
01/24/2007
Last updated
10/04/2019
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