Ann Kiley Developmental Center Unit 3267 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3267 - NPI 1043348584
Ann Kiley Developmental Center Unit 3267 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3267 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 3267 is 1043348584. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3267'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 3267 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 3267 |
|---|---|
| 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 | 1043348584 |
|---|---|
| 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. |
|
Post Comment/ Review Below
What is the Ann Kiley Developmental Center Unit 3267's 1043348584?
The Ann Kiley Developmental Center Unit 3267's NPI (National Provider Identifier) Number is 1043348584. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ann Kiley Developmental Center Unit 3267?
The Ann Kiley Developmental Center Unit 3267 is physically situated at 1401 W Dugdale Rd, in the city of Waukegan, state of IL, with the postal code 600856263.
What is Ann Kiley Developmental Center Unit 3267's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ann Kiley Developmental Center Unit 3267'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 Centers for Medicare & Medicaid Services issue the 1043348584 to Ann Kiley Developmental Center Unit 3267?
The Ann Kiley Developmental Center Unit 3267 received its 1043348584 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the Ann Kiley Developmental Center Unit 3267's information last updated?
The Ann Kiley Developmental Center Unit 3267's information was last updated on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA