Ann Kiley Developmental Center Unit 3566 Home 46 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3566 Home 46 - NPI 1770611642
Ann Kiley Developmental Center Unit 3566 Home 46 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3566 Home 46 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 3566 Home 46 is 1770611642. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3566 Home 46'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 3566 Home 46 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 3566 Home 46 |
|---|---|
| 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 | 1770611642 |
|---|---|
| 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 identification code assigned to Ann Kiley Developmental Center Unit 3566 Home 46 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3566 Home 46 has been issued the NPI (National Provider Identifier) 1770611642. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ann Kiley Developmental Center Unit 3566 Home 46 is geographically located?
The Ann Kiley Developmental Center Unit 3566 Home 46 is physically situated at the following location: 1401 W Dugdale Rd, Waukegan, IL, 600856263.
What is Ann Kiley Developmental Center Unit 3566 Home 46'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 3566 Home 46 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 the Centers for Medicare & Medicaid Services originally issue the 1770611642 to Ann Kiley Developmental Center Unit 3566 Home 46?
The Centers for Medicare & Medicaid Services originally issued the 1770611642 to Ann Kiley Developmental Center Unit 3566 Home 46 on 2007-03-01.
When was the information regarding Ann Kiley Developmental Center Unit 3566 Home 46, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ann Kiley Developmental Center Unit 3566 Home 46, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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