Community Living Options Inc in Galesburg - Intermediate Care Facility, Intellectual Disabilities
Community Living Options Inc - NPI 1114199569
Community Living Options Inc is a Intermediate Care Facility, Intellectual Disabilities in Galesburg, Illinois. Community Living Options Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Living Options Inc is 1114199569. The last update date is 2008-04-20.
Community Living Options Inc's current location address is 285 South Farnham Street, Galesburg, Illinois. You can contact this provider via phone number 3093431550 and fax number 3093436318. The mailing address for Community Living Options Inc is 285 South Farnham Street, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Living Options Inc |
|---|---|
| Address | 285 South Farnham Street, Galesburg, Illinois |
| Phone Number | 3093431550 |
| Fax Number | 3093436318 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Wilson J Ronald |
| Telephone Number | 3093431550 |
NPI Number Detail
| NPI Number | 1114199569 |
|---|---|
| Provider Enumeration Date | 2008-03-26 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 285 South Farnham Street |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614015323 |
| Phone Number | 3093431550 |
| Fax Number | 3093436318 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 35766 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Community Living Options Inc's 1114199569?
The Community Living Options Inc's NPI (National Provider Identifier) Number is 1114199569. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Community Living Options Inc?
The Community Living Options Inc is physically situated at 285 South Farnham Street, in the city of Galesburg, state of IL, with the postal code 614015323.
What is the area of specialization for Community Living Options Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Community Living Options Inc is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114199569 to Community Living Options Inc?
The Centers for Medicare & Medicaid Services originally issued the 1114199569 to Community Living Options Inc on 2008-03-26.
As of what date were the Community Living Options Inc's details last updated?
The information pertaining to the Community Living Options Inc, including its address, specialty, and other details, was most recently updated on 2008-04-20.
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