Ann Kiley Developmental Center Unit 3362 Home 22 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3362 Home 22 - NPI 1982732905
Ann Kiley Developmental Center Unit 3362 Home 22 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3362 Home 22 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 3362 Home 22 is 1982732905. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3362 Home 22'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 3362 Home 22 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 3362 Home 22 |
|---|---|
| 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 Prathba |
| Credentials | M.D. |
| Telephone Number | 8472490600 |
NPI Number Detail
| NPI Number | 1982732905 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| 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 10-digit identification code issued to Ann Kiley Developmental Center Unit 3362 Home 22 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3362 Home 22 has been assigned the NPI (National Provider Identifier) 1982732905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ann Kiley Developmental Center Unit 3362 Home 22?
The Ann Kiley Developmental Center Unit 3362 Home 22 is situated at 1401 W Dugdale Rd, in the city of Waukegan, state of IL, with the zip code 600856263.
What is Ann Kiley Developmental Center Unit 3362 Home 22's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ann Kiley Developmental Center Unit 3362 Home 22 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.
On what date did Ann Kiley Developmental Center Unit 3362 Home 22 receive its 1982732905 assignment from the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3362 Home 22 was assigned its 1982732905 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ann Kiley Developmental Center Unit 3362 Home 22 most recently updated or refreshed?
The details pertaining to the Ann Kiley Developmental Center Unit 3362 Home 22, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.