Wm. W. Fox Developmental Center 1C in Dwight - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Wm. W. Fox Developmental Center 1C - NPI 1629112503
Wm. W. Fox Developmental Center 1C is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dwight, Illinois. Wm. W. Fox Developmental Center 1C 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 1C is 1629112503. The last update date is 2020-08-22.
Wm. W. Fox Developmental Center 1C'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 1C 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 1C |
|---|---|
| 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 | 1629112503 |
|---|---|
| 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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What is the unique 10-digit identifier code issued to Wm. W. Fox Developmental Center 1C by the Centers for Medicare & Medicaid Services?
The Wm. W. Fox Developmental Center 1C has been assigned the NPI (National Provider Identifier) 1629112503 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 Wm. W. Fox Developmental Center 1C is located?
The Wm. W. Fox Developmental Center 1C is situated at the following address: 134 W Main St, Dwight, IL, 604201322.
What is Wm. W. Fox Developmental Center 1C's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wm. W. Fox Developmental Center 1C's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629112503 to Wm. W. Fox Developmental Center 1C?
The Wm. W. Fox Developmental Center 1C received its 1629112503 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date was the information regarding Wm. W. Fox Developmental Center 1C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wm. W. Fox Developmental Center 1C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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