Ann Kiley Developmental Center Unit 3567 Home 47 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3567 Home 47 - NPI 1083742969
Ann Kiley Developmental Center Unit 3567 Home 47 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3567 Home 47 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 3567 Home 47 is 1083742969. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3567 Home 47'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 3567 Home 47 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 3567 Home 47 |
|---|---|
| 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 | 1083742969 |
|---|---|
| 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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ann Kiley Developmental Center Unit 3567 Home 47 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3567 Home 47 has been assigned the NPI (National Provider Identifier) 1083742969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Ann Kiley Developmental Center Unit 3567 Home 47 is located?
The Ann Kiley Developmental Center Unit 3567 Home 47 is situated at the following address: 1401 W Dugdale Rd, Waukegan, IL, 600856263.
What is Ann Kiley Developmental Center Unit 3567 Home 47's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ann Kiley Developmental Center Unit 3567 Home 47'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 Ann Kiley Developmental Center Unit 3567 Home 47 receive its 1083742969 assignment?
The Ann Kiley Developmental Center Unit 3567 Home 47 was assigned its 1083742969 on 2007-03-01, which is the date when this unique identifier was issued to the organization.
When was the information related to Ann Kiley Developmental Center Unit 3567 Home 47 most recently updated or refreshed?
The details pertaining to the Ann Kiley Developmental Center Unit 3567 Home 47, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.