Ann Kiley Developmental Center Unit 3562 Home 42 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3562 Home 42 - NPI 1649308651
Ann Kiley Developmental Center Unit 3562 Home 42 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3562 Home 42 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 3562 Home 42 is 1649308651. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3562 Home 42'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 3562 Home 42 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 3562 Home 42 |
|---|---|
| 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 | 1649308651 |
|---|---|
| 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 identifier code assigned to Ann Kiley Developmental Center Unit 3562 Home 42 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3562 Home 42 has been issued the NPI (National Provider Identifier) 1649308651 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ann Kiley Developmental Center Unit 3562 Home 42 is physically located?
The Ann Kiley Developmental Center Unit 3562 Home 42 is physically situated at the following address: 1401 W Dugdale Rd, Waukegan, IL, 600856263.
What is Ann Kiley Developmental Center Unit 3562 Home 42's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ann Kiley Developmental Center Unit 3562 Home 42'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.
When did the Ann Kiley Developmental Center Unit 3562 Home 42 receive its 1649308651?
The Ann Kiley Developmental Center Unit 3562 Home 42 was issued its 1649308651 on 2007-03-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Ann Kiley Developmental Center Unit 3562 Home 42 last refreshed?
The information related to the Ann Kiley Developmental Center Unit 3562 Home 42, including its address, specialty, and other relevant details, was last updated on 2020-08-22.