Wm. W. Fox Developmental Center 1B in Dwight - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Wm. W. Fox Developmental Center 1B - NPI 1972647808

Wm. W. Fox Developmental Center 1B is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dwight, Illinois. Wm. W. Fox Developmental Center 1B practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Wm. W. Fox Developmental Center 1B is 1972647808. The last update date is 2020-08-22.

Wm. W. Fox Developmental Center 1B's current location address is 134 W Main St, Dwight, Illinois. You can contact this provider via phone number 8155843347. The mailing address for Wm. W. Fox Developmental Center 1B is 134 W Main St, Dwight, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wm. W. Fox Developmental Center 1B
Address 134 W Main St, Dwight, Illinois
Phone Number 8155843347
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Pedraza Gus
Telephone Number 8155843347

NPI Number Detail

NPI Number 1972647808
Provider Enumeration Date 2007-02-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 134 W Main St
City Dwight
State Illinois (IL)
Post Code 604201322
Phone Number 8155843347
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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FAQs about Wm. W. Fox Developmental Center 1B

What is the unique identification code assigned to Wm. W. Fox Developmental Center 1B by the Centers for Medicare & Medicaid Services?

The Wm. W. Fox Developmental Center 1B has been issued the NPI (National Provider Identifier) 1972647808. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Wm. W. Fox Developmental Center 1B's facilities are geographically located?

The facilities of Wm. W. Fox Developmental Center 1B are physically situated at the following location: 134 W Main St, Dwight, IL, 604201322.

What is the area of specialization for Wm. W. Fox Developmental Center 1B, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wm. W. Fox Developmental Center 1B is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.

On what date did the Wm. W. Fox Developmental Center 1B receive the assignment of its 1972647808 from the Centers for Medicare & Medicaid Services?

The Wm. W. Fox Developmental Center 1B was issued its 1972647808 by the Centers for Medicare & Medicaid Services on 2007-02-16.

When was the information pertaining to Wm. W. Fox Developmental Center 1B most recently updated or revised?

The details related to Wm. W. Fox Developmental Center 1B, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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