Community Residential Centers Inc in Galesburg - Intermediate Care Facility, Intellectual Disabilities
Community Residential Centers Inc - NPI 1114140373
Community Residential Centers Inc is a Intermediate Care Facility, Intellectual Disabilities in Galesburg, Illinois. Community Residential Centers Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Residential Centers Inc is 1114140373. The last update date is 2020-08-22.
Community Residential Centers Inc's current location address is 239 S Cherry Street, Galesburg, Illinois. You can contact this provider via phone number 3093434101 and fax number 3093434106. The mailing address for Community Residential Centers Inc is 239 S Cherry Street, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residential Centers Inc |
|---|---|
| Address | 239 S Cherry Street, Galesburg, Illinois |
| Phone Number | 3093434101 |
| Fax Number | 3093434106 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Dillard D Bobby |
| Credentials | MS LNHA |
| Telephone Number | 3093434101 |
NPI Number Detail
| NPI Number | 1114140373 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 239 S Cherry Street |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 61401 |
| Phone Number | 3093434101 |
| Fax Number | 3093434106 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 3406 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identification code issued to Community Residential Centers Inc by the Centers for Medicare & Medicaid Services?
The Community Residential Centers Inc has been assigned the NPI (National Provider Identifier) 1114140373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Community Residential Centers Inc's physical address?
The Community Residential Centers Inc is physically located at 239 S Cherry Street, in the city of Galesburg, IL, with the postal code 61401.
What is Community Residential Centers Inc's area of expertise and its corresponding taxonomy classification?
The Community Residential Centers Inc's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
When did the Community Residential Centers Inc receive its 1114140373?
The Community Residential Centers Inc was issued its 1114140373 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Community Residential Centers Inc last refreshed?
The information related to the Community Residential Centers Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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