The Camelot Society in Bothell - Intermediate Care Facility, Intellectual Disabilities
The Camelot Society - NPI 1811104763
The Camelot Society is a Intermediate Care Facility, Intellectual Disabilities in Bothell, Washington. The Camelot Society practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for The Camelot Society is 1811104763. The last update date is 2020-08-22.
The Camelot Society's current location address is 18606 Bothell Way Ne, Bothell, Washington. You can contact this provider via phone number 4254815853 and fax number 4254815763. The mailing address for The Camelot Society is 18606 Bothell Way Ne, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Camelot Society |
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Address | 18606 Bothell Way Ne, Bothell, Washington |
Phone Number | 4254815853 |
Fax Number | 4254815763 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Calkins L. Autumn |
Telephone Number | 4254815853 |
NPI Number Detail
NPI Number | 1811104763 |
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Provider Enumeration Date | 2007-05-17 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 18606 Bothell Way Ne |
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City | Bothell |
State | Washington (WA) |
Post Code | 980111929 |
Phone Number | 4254815853 |
Fax Number | 4254815763 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
---|---|
Taxonomy | 315P00000X |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4963203 | WA | ICFMR GROUP HOME |
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What is the unique 10-digit identification code assigned to The Camelot Society by the Centers for Medicare & Medicaid Services?
The The Camelot Society has been issued the NPI (National Provider Identifier) 1811104763, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of The Camelot Society?
The The Camelot Society is physically situated at 18606 Bothell Way Ne, in the city of Bothell, state of WA, with the postal code 980111929.
What is the area of specialization for The Camelot Society, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for The Camelot Society is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
When did the The Camelot Society receive its 1811104763?
The The Camelot Society was issued its 1811104763 on 2007-05-17, which is the date when the organization was assigned this unique identifier.
As of what date were the The Camelot Society's details last updated?
The information pertaining to the The Camelot Society, including its address, specialty, and other details, was most recently updated on 2020-08-22.