Bushnell Dix Hill Jones 694110 in Jacksonville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Bushnell Dix Hill Jones 694110 - NPI 1154465243
Bushnell Dix Hill Jones 694110 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, Illinois. Bushnell Dix Hill Jones 694110 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Bushnell Dix Hill Jones 694110 is 1154465243. The last update date is 2020-08-22.
Bushnell Dix Hill Jones 694110's current location address is 1201 S Main St, Jacksonville, Illinois. You can contact this provider via phone number 2174792120 and fax number 2172438920. The mailing address for Bushnell Dix Hill Jones 694110 is 1201 S Main St, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bushnell Dix Hill Jones 694110 |
---|---|
Address | 1201 S Main St, Jacksonville, Illinois |
Phone Number | 2174792120 |
Fax Number | 2172438920 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
---|---|
Authorized Official Name | Pennell Susie |
Telephone Number | 2174792120 |
NPI Number Detail
NPI Number | 1154465243 |
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Provider Enumeration Date | 2007-02-20 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1201 S Main St |
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City | Jacksonville |
State | Illinois (IL) |
Post Code | 626503339 |
Phone Number | 2174792120 |
Fax Number | 2172438920 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
694110 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bushnell Dix Hill Jones 694110 by the Centers for Medicare & Medicaid Services?
The Bushnell Dix Hill Jones 694110 has been assigned the NPI (National Provider Identifier) 1154465243. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bushnell Dix Hill Jones 694110 is physically located?
The Bushnell Dix Hill Jones 694110 is physically situated at the following address: 1201 S Main St, Jacksonville, IL, 626503339.
What is Bushnell Dix Hill Jones 694110's area of expertise and its corresponding taxonomy classification?
The Bushnell Dix Hill Jones 694110's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
When did the Bushnell Dix Hill Jones 694110 receive its 1154465243?
The Bushnell Dix Hill Jones 694110 was issued its 1154465243 on 2007-02-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Bushnell Dix Hill Jones 694110 last refreshed?
The information related to the Bushnell Dix Hill Jones 694110, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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