Positive Lifestyles Llc in Delano - Intermediate Care Facility, Intellectual Disabilities

Positive Lifestyles Llc - NPI 1154589661

Positive Lifestyles Llc is a Intermediate Care Facility, Intellectual Disabilities in Delano, California. Positive Lifestyles Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Positive Lifestyles Llc is 1154589661. The last update date is 2008-05-30.

Positive Lifestyles Llc's current location address is 422 Balboa Dr, Delano, California. You can contact this provider via phone number 6617257960. The mailing address for Positive Lifestyles Llc is 422 Balboa Dr, Delano, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Positive Lifestyles Llc
Address 422 Balboa Dr, Delano, California
Phone Number 6617257960
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wheelock Dave
Telephone Number 6617257960

NPI Number Detail

NPI Number 1154589661
Provider Enumeration Date 2008-05-30
Last Updated Date 2008-05-30

Provider Mailing Address Detail

Address 422 Balboa Dr
City Delano
State California (CA)
Post Code 932154006
Phone Number 6617257960
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 120000428
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC80113G CA LONG TERM CARE FACILITY

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FAQs about Positive Lifestyles Llc

What is the unique 10-digit identifier code issued to Positive Lifestyles Llc by the Centers for Medicare & Medicaid Services?

The Positive Lifestyles Llc has been assigned the NPI (National Provider Identifier) 1154589661 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Positive Lifestyles Llc is physically located?

The Positive Lifestyles Llc is physically situated at the following address: 422 Balboa Dr, Delano, CA, 932154006.

What is the Positive Lifestyles Llc's area of specialization and corresponding taxonomy classification?

The Positive Lifestyles Llc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.

On what date did the Positive Lifestyles Llc receive its 1154589661 assignment from the Centers for Medicare & Medicaid Services?

The Positive Lifestyles Llc was assigned its 1154589661 by the Centers for Medicare & Medicaid Services on 2008-05-30.

When was the information pertaining to Positive Lifestyles Llc most recently updated or revised?

The details related to Positive Lifestyles Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-30.

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