Organization
COMMUNITY CONNECTIONS & NETWORKS LLC
Active
Other names
Community Connections & Networks LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA S CAIN MHA (OWNER)
(601) 695-4399
Entity
Organization
Contact information
Practice address
1041 EASTER ST, CRYSTAL SPRINGS, MS 39059-3021
(601) 695-4399
Mailing address
1041 EASTER ST, CRYSTAL SPRINGS, MS 39059-3021
(601) 695-4399
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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