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
Address 301 Maple Summit Road, Jerseyville, Illinois
Phone Number 6184985242
Fax Number 6184989285
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AUTHORIZED
Authorized Official Name Wilson J Ronald
Telephone Number 3093431550

NPI Number Detail

NPI Number 1962674317
Provider Enumeration Date 2008-03-26
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 301 Maple Summit Road
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
Taxonomy 315P00000X
Licence No 32151
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Community Living Options Inc

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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