Southern Illinois Case Coordination Services

NPI #1215243001 in Centralia, Illinois

Provider Information

NPI Number
1215243001
Entity Type
Organization
Organization Name
Southern Illinois Case Coordination Services
Primary Specialty
Case Management
Enumeration Date
Aug 31, 2010
Last Updated
Aug 31, 2010

Practice Location

Address
519 S LOCUST ST # 588
ZIP Code
62801-4223
Phone
(618) 532-4300

Authorized Official

Name
GARY ROGER HAKE
Title
EXECUTIVE DIRECTOR
Phone
(618) 532-4300

Specialties & Taxonomy Codes

Specialty
Case Management

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