Ann Kiley Developmental Center Unit 3164 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3164 - NPI 1205963766
Ann Kiley Developmental Center Unit 3164 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3164 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Ann Kiley Developmental Center Unit 3164 is 1205963766. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3164's current location address is 1401 W Dugdale Rd, Waukegan, Illinois. You can contact this provider via phone number 8472490600 and fax number 8472494587. The mailing address for Ann Kiley Developmental Center Unit 3164 is 1401 W Dugdale Rd, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ann Kiley Developmental Center Unit 3164 |
|---|---|
| Address | 1401 W Dugdale Rd, Waukegan, Illinois |
| Phone Number | 8472490600 |
| Fax Number | 8472494587 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Malhotra Pratihba |
| Credentials | M.D. |
| Telephone Number | 8472490600 |
NPI Number Detail
| NPI Number | 1205963766 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1401 W Dugdale Rd |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600856263 |
| Phone Number | 8472490600 |
| Fax Number | 8472494587 |
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 Ann Kiley Developmental Center Unit 3164 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3164 has been assigned the NPI (National Provider Identifier) 1205963766 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 address where Ann Kiley Developmental Center Unit 3164 is physically located?
The Ann Kiley Developmental Center Unit 3164 is situated at the following address: 1401 W Dugdale Rd, Waukegan, IL 600856263.
What is Ann Kiley Developmental Center Unit 3164's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ann Kiley Developmental Center Unit 3164's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did the Ann Kiley Developmental Center Unit 3164 receive its 1205963766 assignment from the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3164 was assigned its 1205963766 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the Ann Kiley Developmental Center Unit 3164's information last updated?
The Ann Kiley Developmental Center Unit 3164's information was last updated on 2020-08-22.
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