Community Living Options Inc in Jerseyville - Intermediate Care Facility, Intellectual Disabilities
Community Living Options Inc - NPI 1962674317
Community Living Options Inc is a Intermediate Care Facility, Intellectual Disabilities in Jerseyville, 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 1962674317. The last update date is 2008-04-20.
Community Living Options Inc's current location address is 301 Maple Summit Road, Jerseyville, Illinois. You can contact this provider via phone number 6184985242 and fax number 6184989285. The mailing address for Community Living Options Inc is 301 Maple Summit Road, Jerseyville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Living Options Inc |
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Address | 301 Maple Summit Road, Jerseyville, Illinois |
Phone Number | 6184985242 |
Fax Number | 6184989285 |
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 | 1962674317 |
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Provider Enumeration Date | 2008-03-26 |
Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
Address | 301 Maple Summit Road |
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City | Jerseyville |
State | Illinois (IL) |
Post Code | 620522003 |
Phone Number | 6184985242 |
Fax Number | 6184989285 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 32151 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique identification code assigned to Community Living Options Inc by the Centers for Medicare & Medicaid Services?
The Community Living Options Inc has been issued the NPI (National Provider Identifier) 1962674317. This 10-digit code serves as a unique identifier for healthcare providers, assigned 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: 301 Maple Summit Road, Jerseyville, IL, 620522003.
What is Community Living Options Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Community Living Options Inc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
When did the Community Living Options Inc receive its 1962674317?
The Community Living Options Inc was issued its 1962674317 on 2008-03-26, which is the date when the organization was assigned this unique identifier.
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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