Community Living Options Inc in Wood River - Intermediate Care Facility, Intellectual Disabilities
Community Living Options Inc - NPI 1164694501
Community Living Options Inc is a Intermediate Care Facility, Intellectual Disabilities in Wood River, 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 1164694501. The last update date is 2008-04-20.
Community Living Options Inc's current location address is 460 Pershing, Wood River, Illinois. You can contact this provider via phone number 6182581616 and fax number 6182581641. The mailing address for Community Living Options Inc is 460 Pershing, Wood River, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Living Options Inc |
|---|---|
| Address | 460 Pershing, Wood River, Illinois |
| Phone Number | 6182581616 |
| Fax Number | 6182581641 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Wilson J Ronald |
| Telephone Number | 3093431550 |
NPI Number Detail
| NPI Number | 1164694501 |
|---|---|
| Provider Enumeration Date | 2008-03-26 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 460 Pershing |
|---|---|
| City | Wood River |
| State | Illinois (IL) |
| Post Code | 620951316 |
| Phone Number | 6182581616 |
| Fax Number | 6182581641 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 39703 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique identifier code issued to Community Living Options Inc by the Centers for Medicare & Medicaid Services?
The Community Living Options Inc has been assigned the NPI (National Provider Identifier) 1164694501. This 10-digit code serves as a unique identification number for healthcare providers issued 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 460 Pershing, in the city of Wood River, state of IL, with the postal code 620951316.
What is the Community Living Options Inc's area of specialization and corresponding taxonomy classification?
The Community Living Options Inc'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 Centers for Medicare & Medicaid Services assign the 1164694501 to Community Living Options Inc?
The Centers for Medicare & Medicaid Services assigned the 1164694501 to Community Living Options Inc on 2008-03-26.
When was the information related to Community Living Options Inc most recently updated or refreshed?
The details pertaining to the Community Living Options Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-20.
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