Community Living Options Inc in Galesburg - Intermediate Care Facility, Intellectual Disabilities
Community Living Options Inc - NPI 1952573305
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 1952573305. 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 | 1952573305 |
|---|---|
| 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 | 35030 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Community Living Options Inc's 1952573305?
The Community Living Options Inc's NPI (National Provider Identifier) Number is 1952573305. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Community Living Options Inc's facilities are situated?
The facilities of Community Living Options Inc are physically located at the following address: 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.
On what date did the Community Living Options Inc receive its 1952573305 assignment from the Centers for Medicare & Medicaid Services?
The Community Living Options Inc was assigned its 1952573305 by the Centers for Medicare & Medicaid Services 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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