Organization
PARENTS AND FRIENDS OF THE COMMUNITY INTEGRATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA MISSEY (EXECUTIVE DIRECTOR)
(618) 310-1549
Entity
Organization
Contact information
Practice address
212 S. 32ND ST, BELLEVILLE, IL 62226
(618) 310-1549
(618) 310-1551
Mailing address
212 S. 32ND ST, BELLEVILLE, IL 62226
(618) 310-1549
(618) 310-1551
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
IL
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
03/03/2008
Last updated
12/22/2015
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