Center Village, Inc. in Keosauqua - Community Based Residential Treatment Facility, Mental Illness
Center Village, Inc. - NPI 1376670034
Center Village, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Keosauqua, Iowa. Center Village, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Center Village, Inc. is 1376670034. The last update date is 2007-07-16.
Center Village, Inc.'s current location address is 19248 Maple Ave, Keosauqua, Iowa. You can contact this provider via phone number 3192933107. The mailing address for Center Village, Inc. is 19248 Maple Ave, Keosauqua, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center Village, Inc. |
|---|---|
| Address | 19248 Maple Ave, Keosauqua, Iowa |
| Phone Number | 3192933107 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Winslow N Karla |
| Telephone Number | 3192933107 |
NPI Number Detail
| NPI Number | 1376670034 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 19248 Maple Ave |
|---|---|
| City | Keosauqua |
| State | Iowa (IA) |
| Post Code | 525658288 |
| Phone Number | 3192933107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 890403 |
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Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the unique identifier code issued to Center Village, Inc. by the Centers for Medicare & Medicaid Services?
The Center Village, Inc. has been assigned the NPI (National Provider Identifier) 1376670034. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Center Village, Inc. is physically located?
The Center Village, Inc. is physically situated at the following address: 19248 Maple Ave, Keosauqua, IA, 525658288.
What is the Center Village, Inc.'s area of specialization and corresponding taxonomy classification?
The Center Village, Inc.'s specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Center Village, Inc. receive its 1376670034 assignment from the Centers for Medicare & Medicaid Services?
The Center Village, Inc. was assigned its 1376670034 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date was the information pertaining to Center Village, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Center Village, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-16.
NPI Number: 1932102142
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