Ann Kiley Developmental Center Unit 3262 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3262 - NPI 1790812212
Ann Kiley Developmental Center Unit 3262 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3262 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 3262 is 1790812212. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3262'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 3262 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 3262 |
|---|---|
| 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 | 1790812212 |
|---|---|
| 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 |
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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 identification code assigned to Ann Kiley Developmental Center Unit 3262 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3262 has been issued the NPI (National Provider Identifier) 1790812212, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ann Kiley Developmental Center Unit 3262 located?
The Ann Kiley Developmental Center Unit 3262 is located at 1401 W Dugdale Rd, Waukegan, IL 600856263.
What is Ann Kiley Developmental Center Unit 3262's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ann Kiley Developmental Center Unit 3262 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320600000X.
When did the Ann Kiley Developmental Center Unit 3262 receive its 1790812212?
The Ann Kiley Developmental Center Unit 3262 was issued its 1790812212 on 2007-02-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Ann Kiley Developmental Center Unit 3262, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ann Kiley Developmental Center Unit 3262, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.