Jacy, Llc in Cold Spring - Community Based Residential Treatment Facility, Mental Illness
Jacy, Llc - NPI 1346455714
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 1346455714. The last update date is 2020-08-22.
Jacy, Llc's current location address is 614 Emmas Dr Se, Cold Spring, Minnesota. You can contact this provider via phone number 3206859847. The mailing address for Jacy, Llc is 614 Emmas Dr Se, Cold Spring, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacy, Llc |
|---|---|
| Address | 614 Emmas Dr Se, Cold Spring, Minnesota |
| Phone Number | 3206859847 |
| 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 | 1346455714 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 614 Emmas Dr Se |
|---|---|
| City | Cold Spring |
| State | Minnesota (MN) |
| Post Code | 563201454 |
| Phone Number | 3206859847 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 10435532AFC |
|
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 identifier code issued to Jacy, Llc by the Centers for Medicare & Medicaid Services?
The Jacy, Llc has been assigned the NPI (National Provider Identifier) 1346455714. 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 Jacy, Llc is physically located?
The Jacy, Llc is physically situated at the following address: 614 Emmas Dr Se, Cold Spring, MN, 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.
When did Jacy, Llc receive its 1346455714 assignment?
The Jacy, Llc was assigned its 1346455714 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jacy, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacy, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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