Social Rehabilitation And Residential Resources, Inc. in West Allis - Community/behavioral Health
Social Rehabilitation And Residential Resources, Inc. - NPI 1154514776
Social Rehabilitation And Residential Resources, Inc. is a Community/behavioral Health in West Allis, Wisconsin. Social Rehabilitation And Residential Resources, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Social Rehabilitation And Residential Resources, Inc. is 1154514776. The last update date is 2007-08-27.
Social Rehabilitation And Residential Resources, Inc.'s current location address is 9330 W Lincoln Ave Ste 21, West Allis, Wisconsin. You can contact this provider via phone number 4145466880 and fax number 4145466234. The mailing address for Social Rehabilitation And Residential Resources, Inc. is 9330 W Lincoln Ave Ste 21, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Social Rehabilitation And Residential Resources, Inc. |
|---|---|
| Address | 9330 W Lincoln Ave Ste 21, West Allis, Wisconsin |
| Phone Number | 4145466880 |
| Fax Number | 4145466234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Kincaid Jeffery |
| Credentials | MS, LPC |
| Telephone Number | 4145466880 |
NPI Number Detail
| NPI Number | 1154514776 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 9330 W Lincoln Ave Ste 21 |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532272300 |
| Phone Number | 4145466880 |
| Fax Number | 4145466234 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 2611 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42242500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Social Rehabilitation And Residential Resources, Inc. by the Centers for Medicare & Medicaid Services?
The Social Rehabilitation And Residential Resources, Inc. has been assigned the NPI (National Provider Identifier) 1154514776. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Social Rehabilitation And Residential Resources, Inc.'s physical address?
The Social Rehabilitation And Residential Resources, Inc. is physically located at 9330 W Lincoln Ave Ste 21, in the city of West Allis, WI, with the postal code 532272300.
What is Social Rehabilitation And Residential Resources, Inc.'s area of expertise and its corresponding taxonomy classification?
The Social Rehabilitation And Residential Resources, Inc.'s field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1154514776 to Social Rehabilitation And Residential Resources, Inc.?
The Social Rehabilitation And Residential Resources, Inc. received its 1154514776 assignment from the Centers for Medicare & Medicaid Services on 2007-08-27.
As of what date were the Social Rehabilitation And Residential Resources, Inc.'s details last updated?
The information pertaining to the Social Rehabilitation And Residential Resources, Inc., including its address, specialty, and other details, was most recently updated on 2007-08-27.