Creative Housing Iii-Mt Holly in El Dorado - Intermediate Care Facility, Intellectual Disabilities
Creative Housing Iii-Mt Holly - NPI 1952427569
Creative Housing Iii-Mt Holly is a Intermediate Care Facility, Intellectual Disabilities in El Dorado, Arkansas. Creative Housing Iii-Mt Holly practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Creative Housing Iii-Mt Holly is 1952427569. The last update date is 2020-08-22.
Creative Housing Iii-Mt Holly's current location address is 714 W Grove St, El Dorado, Arkansas. You can contact this provider via phone number 8708638194 and fax number 8708814600. The mailing address for Creative Housing Iii-Mt Holly is 714 W Grove St, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creative Housing Iii-Mt Holly |
|---|---|
| Address | 714 W Grove St, El Dorado, Arkansas |
| Phone Number | 8708638194 |
| Fax Number | 8708814600 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Staggs Barbara |
| Telephone Number | 8708638194 |
NPI Number Detail
| NPI Number | 1952427569 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 714 W Grove St |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 717304416 |
| Phone Number | 8708638194 |
| Fax Number | 8708814600 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Creative Housing Iii-Mt Holly by the Centers for Medicare & Medicaid Services?
The Creative Housing Iii-Mt Holly has been assigned the NPI (National Provider Identifier) 1952427569 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Creative Housing Iii-Mt Holly located?
The Creative Housing Iii-Mt Holly is located at 714 W Grove St, El Dorado, AR 717304416.
What is Creative Housing Iii-Mt Holly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Creative Housing Iii-Mt Holly is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Creative Housing Iii-Mt Holly receive its 1952427569 assignment from the Centers for Medicare & Medicaid Services?
The Creative Housing Iii-Mt Holly was assigned its 1952427569 by the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date were the details related to Creative Housing Iii-Mt Holly most recently updated or revised?
The information pertaining to Creative Housing Iii-Mt Holly, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.