Moultrie County Beacon in Sullivan - Day Training, Developmentally Disabled Services
Moultrie County Beacon - NPI 1639356017
Moultrie County Beacon is a Day Training, Developmentally Disabled Services in Sullivan, Illinois. Moultrie County Beacon practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Moultrie County Beacon is 1639356017. The last update date is 2022-07-21.
Moultrie County Beacon's current location address is 401 W Water St, Sullivan, Illinois. You can contact this provider via phone number 2177287396 and fax number 2177282217. The mailing address for Moultrie County Beacon is 401 W Water St, Sullivan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moultrie County Beacon |
|---|---|
| Address | 401 W Water St, Sullivan, Illinois |
| Phone Number | 2177287396 |
| Fax Number | 2177282217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEVELOPMEN |
|---|---|
| Authorized Official Name | Thomas Kathy Linda |
| Credentials | LT 8159080 |
| Telephone Number | 2177287396 |
NPI Number Detail
| NPI Number | 1639356017 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 401 W Water St |
|---|---|
| City | Sullivan |
| State | Illinois (IL) |
| Post Code | 619511883 |
| Phone Number | 2177287396 |
| Fax Number | 2177282217 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 1 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Moultrie County Beacon by the Centers for Medicare & Medicaid Services?
The Moultrie County Beacon has been issued the NPI (National Provider Identifier) 1639356017, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Moultrie County Beacon is physically located?
The Moultrie County Beacon is situated at the following address: 401 W Water St, Sullivan, IL 619511883.
What is the Moultrie County Beacon's area of specialization and corresponding taxonomy classification?
The Moultrie County Beacon's specialty field is Day Training, Developmentally Disabled Services, and it falls under the taxonomy code 251C00000X, which categorizes healthcare providers based on their specialties.
On what date did the Moultrie County Beacon receive its 1639356017 assignment from the Centers for Medicare & Medicaid Services?
The Moultrie County Beacon was assigned its 1639356017 by the Centers for Medicare & Medicaid Services on 2008-01-28.
When was the information regarding Moultrie County Beacon most recently updated?
The details pertaining to the Moultrie County Beacon, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.