Jackie R White in Galt - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Jackie R White - NPI 1922204619
Jackie R White is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Galt, Missouri. Jackie R White practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jackie R White is 1922204619. The last update date is 2008-07-22.
Jackie R White's current location address is 730 Ne 25th St, Galt, Missouri. You can contact this provider via phone number 6606736139. The mailing address for Jackie R White is 730 Ne 25th St, Galt, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackie R White |
|---|---|
| Address | 730 Ne 25th St, Galt, Missouri |
| Phone Number | 6606736139 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | White R Jackie |
| Telephone Number | 6606736139 |
NPI Number Detail
| NPI Number | 1922204619 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 730 Ne 25th St |
|---|---|
| City | Galt |
| State | Missouri (MO) |
| Post Code | 646419153 |
| Phone Number | 6606736139 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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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 identification code issued to Jackie R White by the Centers for Medicare & Medicaid Services?
The Jackie R White has been assigned the NPI (National Provider Identifier) 1922204619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jackie R White is physically located?
The Jackie R White is physically situated at the following address: 730 Ne 25Th St, Galt, MO, 646419153.
What is the Jackie R White's area of specialization and corresponding taxonomy classification?
The Jackie R White's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Jackie R White receive its 1922204619 assignment from the Centers for Medicare & Medicaid Services?
The Jackie R White was assigned its 1922204619 by the Centers for Medicare & Medicaid Services on 2007-06-21.
When was the information regarding Jackie R White most recently updated?
The details pertaining to the Jackie R White, including its address, specialty, and other relevant information, were last refreshed on 2008-07-22.