Wilson Healthcare, Inc Dba Sierra House in Lakewood - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Wilson Healthcare, Inc Dba Sierra House - NPI 1437211760
Wilson Healthcare, Inc Dba Sierra House is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Lakewood, California. Wilson Healthcare, Inc Dba Sierra House practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Wilson Healthcare, Inc Dba Sierra House is 1437211760. The last update date is 2020-08-22.
Wilson Healthcare, Inc Dba Sierra House's current location address is 12632 206th St, Lakewood, California. You can contact this provider via phone number 5628090042. The mailing address for Wilson Healthcare, Inc Dba Sierra House is 12632 206th St, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilson Healthcare, Inc Dba Sierra House |
|---|---|
| Address | 12632 206th St, Lakewood, California |
| Phone Number | 5628090042 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Wilson F. Mark |
| Telephone Number | 5628090042 |
NPI Number Detail
| NPI Number | 1437211760 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12632 206th St |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 907151902 |
| Phone Number | 5628090042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wilson Healthcare, Inc Dba Sierra House by the Centers for Medicare & Medicaid Services?
The Wilson Healthcare, Inc Dba Sierra House has been issued the NPI (National Provider Identifier) 1437211760 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Wilson Healthcare, Inc Dba Sierra House's facilities are geographically located?
The facilities of Wilson Healthcare, Inc Dba Sierra House are physically situated at the following location: 12632 206Th St, Lakewood, CA, 907151902.
What is the area of specialization for Wilson Healthcare, Inc Dba Sierra House, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wilson Healthcare, Inc Dba Sierra House is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Wilson Healthcare, Inc Dba Sierra House receive the assignment of its 1437211760 from the Centers for Medicare & Medicaid Services?
The Wilson Healthcare, Inc Dba Sierra House was issued its 1437211760 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information pertaining to Wilson Healthcare, Inc Dba Sierra House most recently updated or revised?
The details related to Wilson Healthcare, Inc Dba Sierra House, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.