Piasa Manor in Godfrey - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Piasa Manor - NPI 1346369642
Piasa Manor is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Godfrey, Illinois. Piasa Manor practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Piasa Manor is 1346369642. The last update date is 2008-08-04.
Piasa Manor's current location address is 110 N Alby Ct, Godfrey, Illinois. You can contact this provider via phone number 6184669242 and fax number 6184669517. The mailing address for Piasa Manor is 110 N Alby Ct, Godfrey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Piasa Manor |
|---|---|
| Address | 110 N Alby Ct, Godfrey, Illinois |
| Phone Number | 6184669242 |
| Fax Number | 6184669517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | QMRP |
|---|---|
| Authorized Official Name | Dodd Ann Carol |
| Telephone Number | 6184669242 |
NPI Number Detail
| NPI Number | 1346369642 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 110 N Alby Ct |
|---|---|
| City | Godfrey |
| State | Illinois (IL) |
| Post Code | 620351963 |
| Phone Number | 6184669242 |
| Fax Number | 6184669517 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 38422 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371272004 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Piasa Manor?
The Piasa Manor has been issued the NPI (National Provider Identifier) 1346369642 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Piasa Manor is physically located?
The Piasa Manor is physically situated at the following address: 110 N Alby Ct, Godfrey, IL, 620351963.
What is the area of specialization for Piasa Manor, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Piasa Manor is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
On what date was the 1346369642 assigned to Piasa Manor?
The Piasa Manor was issued its 1346369642 on 2007-03-28, 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 details pertaining to Piasa Manor last refreshed?
The information related to the Piasa Manor, including its address, specialty, and other relevant details, was last updated on 2008-08-04.