Plcca,inc.

NPI #1457539223 in Maywood, Illinois

Provider Information

NPI Number
1457539223
Entity Type
Organization
Organization Name
Plcca,inc.
Subpart
Yes (part of a larger organization)
Parent Organization
PLCCA,INC.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 4, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
411 MADISON ST
ZIP Code
60153-2136
Phone
(708) 450-3500

Authorized Official

Name
MR. CLAUDE PORTER, BISHOP
Title
PASTOR
Phone
(708) 450-3506

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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