Ann Kiley Developmental Center Unit3364 Home24 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit3364 Home24 - NPI 1952439184
Ann Kiley Developmental Center Unit3364 Home24 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit3364 Home24 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 Unit3364 Home24 is 1952439184. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit3364 Home24'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 Unit3364 Home24 is 1401 W Dugdale Rd, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ann Kiley Developmental Center Unit3364 Home24 |
|---|---|
| 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 | 1952439184 |
|---|---|
| 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 unique 10-digit identification code assigned to Ann Kiley Developmental Center Unit3364 Home24 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit3364 Home24 has been issued the NPI (National Provider Identifier) 1952439184, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ann Kiley Developmental Center Unit3364 Home24's physical address?
The Ann Kiley Developmental Center Unit3364 Home24 is physically located at 1401 W Dugdale Rd, in the city of Waukegan, IL, with the postal code 600856263.
What is Ann Kiley Developmental Center Unit3364 Home24's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ann Kiley Developmental Center Unit3364 Home24'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.
On what date did Ann Kiley Developmental Center Unit3364 Home24 receive its 1952439184 assignment from the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit3364 Home24 was assigned its 1952439184 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ann Kiley Developmental Center Unit3364 Home24, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ann Kiley Developmental Center Unit3364 Home24, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.