Ann Kiley Developmental Center Unit 3361 Home 21 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3361 Home 21 - NPI 1255469557
Ann Kiley Developmental Center Unit 3361 Home 21 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3361 Home 21 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 3361 Home 21 is 1255469557. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3361 Home 21'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 3361 Home 21 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 3361 Home 21 |
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Address | 1401 W Dugdale Rd, Waukegan, Illinois |
Phone Number | 8472490600 |
Fax Number | 8472494587 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Malhotra Prathba |
Credentials | M.D. |
Telephone Number | 8472490600 |
NPI Number Detail
NPI Number | 1255469557 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1401 W Dugdale Rd |
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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 |
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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 identification code assigned to Ann Kiley Developmental Center Unit 3361 Home 21 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3361 Home 21 has been issued the NPI (National Provider Identifier) 1255469557. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ann Kiley Developmental Center Unit 3361 Home 21?
The Ann Kiley Developmental Center Unit 3361 Home 21 is situated at 1401 W Dugdale Rd, in the city of Waukegan, state of IL, with the zip code 600856263.
What is the area of specialization for Ann Kiley Developmental Center Unit 3361 Home 21, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ann Kiley Developmental Center Unit 3361 Home 21 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 Centers for Medicare & Medicaid Services issue the 1255469557 to Ann Kiley Developmental Center Unit 3361 Home 21?
The Ann Kiley Developmental Center Unit 3361 Home 21 received its 1255469557 assignment from the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the details pertaining to Ann Kiley Developmental Center Unit 3361 Home 21 last refreshed?
The information related to the Ann Kiley Developmental Center Unit 3361 Home 21, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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