Ann Kiley Developmental Center Unit 3563 Home 43 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3563 Home 43 - NPI 1790813715
Ann Kiley Developmental Center Unit 3563 Home 43 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3563 Home 43 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 3563 Home 43 is 1790813715. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3563 Home 43'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 3563 Home 43 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 3563 Home 43 |
|---|---|
| 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 | 1790813715 |
|---|---|
| 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 issued to Ann Kiley Developmental Center Unit 3563 Home 43 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3563 Home 43 has been assigned the NPI (National Provider Identifier) 1790813715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ann Kiley Developmental Center Unit 3563 Home 43 is geographically located?
The Ann Kiley Developmental Center Unit 3563 Home 43 is physically situated at the following location: 1401 W Dugdale Rd, Waukegan, IL, 600856263.
What is Ann Kiley Developmental Center Unit 3563 Home 43's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ann Kiley Developmental Center Unit 3563 Home 43's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When did Ann Kiley Developmental Center Unit 3563 Home 43 receive its 1790813715 assignment?
The Ann Kiley Developmental Center Unit 3563 Home 43 was assigned its 1790813715 on 2007-03-01, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Ann Kiley Developmental Center Unit 3563 Home 43 most recently updated or revised?
The details related to Ann Kiley Developmental Center Unit 3563 Home 43, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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