Organization
COMMUNITY CONNECTIONS AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIEDRE FOOTE C FOOTE (EXECUTIVE DIRECTOR)
(618) 980-3117
Entity
Organization
Contact information
Practice address
2405 FOUR LAKES DR., BELLEVILLE, IL 62220
(618) 980-3117
Mailing address
2405 FOUR LAKES DR., BELLEVILLE, IL 62220
(618) 980-3117
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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