Mobi-Dent P.C. in Flossmoor - Residential Treatment Facility, Physical Disabilities
Mobi-Dent P.C. - NPI 1205001914
Mobi-Dent P.C. is a Residential Treatment Facility, Physical Disabilities in Flossmoor, Illinois. Mobi-Dent P.C. practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Mobi-Dent P.C. is 1205001914. The last update date is 2008-04-23.
Mobi-Dent P.C.'s current location address is 1719 Heather Hill Cres, Flossmoor, Illinois. You can contact this provider via phone number 7082280474 and fax number 3148378918. The mailing address for Mobi-Dent P.C. is 1719 Heather Hill Cres, Flossmoor, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mobi-Dent P.C. |
|---|---|
| Address | 1719 Heather Hill Cres, Flossmoor, Illinois |
| Phone Number | 7082280474 |
| Fax Number | 3148378918 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Powell Cortez Avery |
| Credentials | D.D.S. |
| Telephone Number | 7082280474 |
NPI Number Detail
| NPI Number | 1205001914 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 1719 Heather Hill Cres |
|---|---|
| City | Flossmoor |
| State | Illinois (IL) |
| Post Code | 604222041 |
| Phone Number | 7082280474 |
| Fax Number | 3148378918 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 19022452 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mobi-Dent P.C. by the Centers for Medicare & Medicaid Services?
The Mobi-Dent P.C. has been issued the NPI (National Provider Identifier) 1205001914 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mobi-Dent P.C. is located?
The Mobi-Dent P.C. is situated at the following address: 1719 Heather Hill Cres, Flossmoor, IL, 604222041.
What is the Mobi-Dent P.C.'s specialty and taxonomy code?
The Mobi-Dent P.C.'s specialty is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy code is 320700000X.
When was the Mobi-Dent P.C.'s 1205001914 issued?
The Mobi-Dent P.C.'s 1205001914 was issued on 2008-04-23.
When was the information pertaining to Mobi-Dent P.C. most recently updated or revised?
The details related to Mobi-Dent P.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-04-23.
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