Community Living Options Inc in Galesburg - Intermediate Care Facility, Intellectual Disabilities
Community Living Options Inc - NPI 1710159645
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 1710159645. 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 |
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Address | 285 South Farnham Street, Galesburg, Illinois |
Phone Number | 3093431550 |
Fax Number | 3093436318 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | AUTHORIZED |
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Authorized Official Name | Wilson J Ronald |
Telephone Number | 3093431550 |
NPI Number Detail
NPI Number | 1710159645 |
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Provider Enumeration Date | 2008-04-01 |
Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
Address | 285 South Farnham Street |
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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 |
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Taxonomy | 315P00000X |
Licence No | 34041 |
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) 1710159645. 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 share the complete physical address where Community Living Options Inc is geographically located?
The Community Living Options Inc is physically situated at the following location: 285 South Farnham Street, Galesburg, IL, 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.
When was the Community Living Options Inc's 1710159645 issued?
The Community Living Options Inc's 1710159645 was issued on 2008-04-01.
When was the Community Living Options Inc's information last updated?
The Community Living Options Inc's information was last updated on 2008-04-20.
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