Community Living Options Inc in Galesburg - Intermediate Care Facility, Intellectual Disabilities
Community Living Options Inc - NPI 1619149051
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 1619149051. 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 | 1619149051 |
|---|---|
| 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 | 35501 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique provider identifier assigned to Community Living Options Inc?
The Community Living Options Inc has been issued the NPI (National Provider Identifier) 1619149051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Community Living Options Inc is physically located?
The Community Living Options Inc is physically situated at the following address: 285 South Farnham Street, Galesburg, IL, 614015323.
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 Community Living Options Inc receive its 1619149051 assignment from the Centers for Medicare & Medicaid Services?
The Community Living Options Inc was assigned its 1619149051 on 2008-03-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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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