Aspen Place Living Center, Llc in Weleetka - Intermediate Care Facility, Intellectual Disabilities
Aspen Place Living Center, Llc - NPI 1104908342
Aspen Place Living Center, Llc is a Intermediate Care Facility, Intellectual Disabilities in Weleetka, Oklahoma. Aspen Place Living Center, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Aspen Place Living Center, Llc is 1104908342. The last update date is 2020-08-22.
Aspen Place Living Center, Llc's current location address is Po Box 488, Weleetka, Oklahoma. You can contact this provider via phone number 4057862266 and fax number 4057862388. The mailing address for Aspen Place Living Center, Llc is Po Box 488, Weleetka, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aspen Place Living Center, Llc |
|---|---|
| Address | Po Box 488, Weleetka, Oklahoma |
| Phone Number | 4057862266 |
| Fax Number | 4057862388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Simmons R Donna |
| Telephone Number | 4057862266 |
NPI Number Detail
| NPI Number | 1104908342 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 488 |
|---|---|
| City | Weleetka |
| State | Oklahoma (OK) |
| Post Code | 748800488 |
| Phone Number | 4057862266 |
| Fax Number | 4057862388 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | NH3209-3209 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Aspen Place Living Center, Llc by the Centers for Medicare & Medicaid Services?
The Aspen Place Living Center, Llc has been assigned the NPI (National Provider Identifier) 1104908342 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Aspen Place Living Center, Llc is located?
The Aspen Place Living Center, Llc is situated at the following address: Po Box 488, Weleetka, OK, 748800488.
What is Aspen Place Living Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Aspen Place Living Center, Llc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Aspen Place Living Center, Llc receive its 1104908342 assignment from the Centers for Medicare & Medicaid Services?
The Aspen Place Living Center, Llc was assigned its 1104908342 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date was the information pertaining to Aspen Place Living Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Aspen Place Living Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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