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
1320 S 2ND ST, SPRINGFIELD, IL 62704-3868
(217) 522-2273
(217) 522-6082
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
—
925
—
IL
Enumeration date
05/22/2014
Last updated
10/14/2016
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