Ann Kiley Developmental Center Unit 3561 Home 41 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3561 Home 41 - NPI 1861520876
Ann Kiley Developmental Center Unit 3561 Home 41 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3561 Home 41 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 3561 Home 41 is 1861520876. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3561 Home 41'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 3561 Home 41 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 3561 Home 41 |
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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 Pratihba |
Credentials | M.D. |
Telephone Number | 8472490600 |
NPI Number Detail
NPI Number | 1861520876 |
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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 Ann Kiley Developmental Center Unit 3561 Home 41's 1861520876?
The Ann Kiley Developmental Center Unit 3561 Home 41's NPI (National Provider Identifier) Number is 1861520876. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ann Kiley Developmental Center Unit 3561 Home 41's facilities are geographically located?
The facilities of Ann Kiley Developmental Center Unit 3561 Home 41 are physically situated at the following location: 1401 W Dugdale Rd, Waukegan, IL, 600856263.
What is Ann Kiley Developmental Center Unit 3561 Home 41's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ann Kiley Developmental Center Unit 3561 Home 41 is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
On what date was the 1861520876 assigned to Ann Kiley Developmental Center Unit 3561 Home 41?
The Ann Kiley Developmental Center Unit 3561 Home 41 was issued its 1861520876 on 2007-03-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ann Kiley Developmental Center Unit 3561 Home 41 most recently updated?
The details pertaining to the Ann Kiley Developmental Center Unit 3561 Home 41, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.