Mental Retardation Waiver Program Muscogee in Columbus - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mental Retardation Waiver Program Muscogee - NPI 1750576807
Mental Retardation Waiver Program Muscogee is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Columbus, Georgia. Mental Retardation Waiver Program Muscogee practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mental Retardation Waiver Program Muscogee is 1750576807. The last update date is 2007-09-12.
Mental Retardation Waiver Program Muscogee's current location address is 2401 Buena Vista Rd, Columbus, Georgia. You can contact this provider via phone number 7065965583 and fax number 7065965589. The mailing address for Mental Retardation Waiver Program Muscogee is 2401 Buena Vista Rd, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mental Retardation Waiver Program Muscogee |
|---|---|
| Address | 2401 Buena Vista Rd, Columbus, Georgia |
| Phone Number | 7065965583 |
| Fax Number | 7065965589 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Alexander Perry |
| Telephone Number | 7065965582 |
NPI Number Detail
| NPI Number | 1750576807 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 2401 Buena Vista Rd |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319063142 |
| Phone Number | 7065965583 |
| Fax Number | 7065965589 |
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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What is the unique 10-digit identifier code issued to Mental Retardation Waiver Program Muscogee by the Centers for Medicare & Medicaid Services?
The Mental Retardation Waiver Program Muscogee has been assigned the NPI (National Provider Identifier) 1750576807 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mental Retardation Waiver Program Muscogee?
The Mental Retardation Waiver Program Muscogee is physically situated at 2401 Buena Vista Rd, in the city of Columbus, state of GA, with the postal code 319063142.
What is Mental Retardation Waiver Program Muscogee's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mental Retardation Waiver Program Muscogee is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When did Mental Retardation Waiver Program Muscogee receive its 1750576807 assignment?
The Mental Retardation Waiver Program Muscogee was assigned its 1750576807 on 2007-09-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mental Retardation Waiver Program Muscogee most recently updated or revised?
The details related to Mental Retardation Waiver Program Muscogee, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-12.
NPI Number: 1841297926
Address: Po Box 220627, West Palm Beach, FL