Jacy, Llc in Cold Spring - Community Based Residential Treatment Facility, Mental Illness
Jacy, Llc - NPI 1093927998
Jacy, Llc is a Community Based Residential Treatment Facility, Mental Illness in Cold Spring, Minnesota. Jacy, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Jacy, Llc is 1093927998. The last update date is 2020-08-22.
Jacy, Llc's current location address is 616 Emmas Dr Se, Cold Spring, Minnesota. You can contact this provider via phone number 3206854578. The mailing address for Jacy, Llc is 616 Emmas Dr Se, Cold Spring, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacy, Llc |
|---|---|
| Address | 616 Emmas Dr Se, Cold Spring, Minnesota |
| Phone Number | 3206854578 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilson Marie Carmen |
| Telephone Number | 3202559530 |
NPI Number Detail
| NPI Number | 1093927998 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 616 Emmas Dr Se |
|---|---|
| City | Cold Spring |
| State | Minnesota (MN) |
| Post Code | 563201454 |
| Phone Number | 3206854578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 1043554-2-AF |
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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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What is the unique 10-digit identification code assigned to Jacy, Llc by the Centers for Medicare & Medicaid Services?
The Jacy, Llc has been issued the NPI (National Provider Identifier) 1093927998, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jacy, Llc?
The Jacy, Llc is situated at 616 Emmas Dr Se, in the city of Cold Spring, state of MN, with the zip code 563201454.
What is Jacy, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacy, Llc's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093927998 to Jacy, Llc?
The Centers for Medicare & Medicaid Services assigned the 1093927998 to Jacy, Llc on 2007-05-04.
As of what date were the details related to Jacy, Llc most recently updated or revised?
The information pertaining to Jacy, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.