Ann Kiley Developmental Center Unit 3169 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3169 - NPI 1295862795
Ann Kiley Developmental Center Unit 3169 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3169 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 3169 is 1295862795. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3169'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 3169 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 3169 |
|---|---|
| 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 | 1295862795 |
|---|---|
| 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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Post Comment/ Review Below
What is the unique identifier code issued to Ann Kiley Developmental Center Unit 3169 by the Centers for Medicare & Medicaid Services (CMS)?
The Ann Kiley Developmental Center Unit 3169 has been assigned the NPI (National Provider Identifier) 1295862795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Ann Kiley Developmental Center Unit 3169?
The Ann Kiley Developmental Center Unit 3169 is physically situated at 1401 W Dugdale Rd, in the city of Waukegan, state of IL, with the postal code 600856263.
What is the area of specialization for Ann Kiley Developmental Center Unit 3169, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ann Kiley Developmental Center Unit 3169 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 Ann Kiley Developmental Center Unit 3169 receive its 1295862795 assignment from the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3169 was assigned its 1295862795 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information regarding Ann Kiley Developmental Center Unit 3169, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ann Kiley Developmental Center Unit 3169, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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