Ann Kiley Developmental Center Unit 3569 Home 49 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3569 Home 49 - NPI 1528196409
Ann Kiley Developmental Center Unit 3569 Home 49 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3569 Home 49 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 3569 Home 49 is 1528196409. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3569 Home 49'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 3569 Home 49 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 3569 Home 49 |
|---|---|
| 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 | 1528196409 |
|---|---|
| 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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What is the Ann Kiley Developmental Center Unit 3569 Home 49's unique identification number?
The Ann Kiley Developmental Center Unit 3569 Home 49 has been assigned the NPI (National Provider Identifier) Number 1528196409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Ann Kiley Developmental Center Unit 3569 Home 49 located?
The Ann Kiley Developmental Center Unit 3569 Home 49 is located at 1401 W Dugdale Rd, Waukegan, IL 600856263.
What is Ann Kiley Developmental Center Unit 3569 Home 49'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 3569 Home 49 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 assign the 1528196409 to Ann Kiley Developmental Center Unit 3569 Home 49?
The Centers for Medicare & Medicaid Services assigned the 1528196409 to Ann Kiley Developmental Center Unit 3569 Home 49 on 2007-03-01.
When was the information related to Ann Kiley Developmental Center Unit 3569 Home 49 most recently updated or refreshed?
The details pertaining to the Ann Kiley Developmental Center Unit 3569 Home 49, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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