Clayton Mhddad in Jonesboro - Day Training, Developmentally Disabled Services
Clayton Mhddad - NPI 1518113869
Clayton Mhddad is a Day Training, Developmentally Disabled Services in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Clayton Mhddad is 1518113869. The last update date is 2008-08-18.
Clayton Mhddad's current location address is 112 Broad St, Jonesboro, Georgia. You can contact this provider via phone number 7704782280 and fax number 7704779772. The mailing address for Clayton Mhddad is 112 Broad St, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 112 Broad St, Jonesboro, Georgia |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Benefield Jade |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1518113869 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 112 Broad St |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363563 |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
|
Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000606922AI | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been assigned the NPI (National Provider Identifier) 1518113869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Clayton Mhddad is physically located?
The Clayton Mhddad is physically situated at the following address: 112 Broad St, Jonesboro, GA, 302363563.
What is the area of specialization for Clayton Mhddad, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clayton Mhddad is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this area of expertise is 251C00000X.
When did the Clayton Mhddad receive its 1518113869?
The Clayton Mhddad was issued its 1518113869 on 2008-08-18, which is the date when the organization was assigned this unique identifier.
When was the information related to Clayton Mhddad most recently updated or refreshed?
The details pertaining to the Clayton Mhddad, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-18.
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