Home And Environments For Living And Programs in Godfrey - Intermediate Care Facility, Intellectual Disabilities
Home And Environments For Living And Programs - NPI 1578729810
Home And Environments For Living And Programs is a Intermediate Care Facility, Intellectual Disabilities in Godfrey, Illinois. Home And Environments For Living And Programs practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Home And Environments For Living And Programs is 1578729810. The last update date is 2008-08-06.
Home And Environments For Living And Programs's current location address is 110 N Alby Court, Godfrey, Illinois. You can contact this provider via phone number 6184669243 and fax number 6184669517. The mailing address for Home And Environments For Living And Programs is 110 N Alby Court, Godfrey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Home And Environments For Living And Programs |
|---|---|
| Address | 110 N Alby Court, Godfrey, Illinois |
| Phone Number | 6184669243 |
| Fax Number | 6184669517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Brookshire A Catherine |
| Telephone Number | 2175299632 |
NPI Number Detail
| NPI Number | 1578729810 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | 110 N Alby Court |
|---|---|
| City | Godfrey |
| State | Illinois (IL) |
| Post Code | 62035 |
| Phone Number | 6184669243 |
| Fax Number | 6184669517 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 38422 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the Home And Environments For Living And Programs's 1578729810?
The Home And Environments For Living And Programs's NPI (National Provider Identifier) Number is 1578729810. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Home And Environments For Living And Programs's physical address?
The Home And Environments For Living And Programs is physically located at 110 N Alby Court, in the city of Godfrey, IL, with the postal code 62035.
What is Home And Environments For Living And Programs's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Home And Environments For Living And Programs is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
On what date did the Home And Environments For Living And Programs receive the assignment of its 1578729810 from the Centers for Medicare & Medicaid Services?
The Home And Environments For Living And Programs was issued its 1578729810 by the Centers for Medicare & Medicaid Services on 2008-08-06.
As of what date were the details related to Home And Environments For Living And Programs most recently updated or revised?
The information pertaining to Home And Environments For Living And Programs, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-06.