Creative Life Skills Development in Surprise - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Creative Life Skills Development - NPI 1184703670
Creative Life Skills Development is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Surprise, Arizona. Creative Life Skills Development practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Creative Life Skills Development is 1184703670. The last update date is 2011-09-07.
Creative Life Skills Development's current location address is 15508 W Bell Rd, Surprise, Arizona. You can contact this provider via phone number 6024415975 and fax number 6024858859. The mailing address for Creative Life Skills Development is 15508 W Bell Rd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creative Life Skills Development |
|---|---|
| Address | 15508 W Bell Rd, Surprise, Arizona |
| Phone Number | 6024415975 |
| Fax Number | 6024858859 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Herrmann Lyn Lisa |
| Credentials | M.S OTR/L |
| Telephone Number | 6024415975 |
NPI Number Detail
| NPI Number | 1184703670 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 15508 W Bell Rd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853742432 |
| Phone Number | 6024415975 |
| Fax Number | 6024858859 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 2762 |
|
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 identification code assigned to Creative Life Skills Development by the Centers for Medicare & Medicaid Services?
The Creative Life Skills Development has been issued the NPI (National Provider Identifier) 1184703670. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Creative Life Skills Development is located?
The Creative Life Skills Development is situated at the following address: 15508 W Bell Rd, Surprise, AZ, 853742432.
What is Creative Life Skills Development's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Creative Life Skills Development'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.
On what date was the 1184703670 assigned to Creative Life Skills Development?
The Creative Life Skills Development was issued its 1184703670 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Creative Life Skills Development's details last updated?
The information pertaining to the Creative Life Skills Development, including its address, specialty, and other details, was most recently updated on 2011-09-07.
NPI Number: 1215930425
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