Jackson County Resource Center in Holton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Jackson County Resource Center - NPI 1962622027
Jackson County Resource Center is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Holton, Kansas. Jackson County Resource Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jackson County Resource Center is 1962622027. The last update date is 2020-08-22.
Jackson County Resource Center's current location address is 625 Vermont Ave, Holton, Kansas. You can contact this provider via phone number 7853643534 and fax number 7853644848. The mailing address for Jackson County Resource Center is 625 Vermont Ave, Holton, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson County Resource Center |
|---|---|
| Address | 625 Vermont Ave, Holton, Kansas |
| Phone Number | 7853643534 |
| Fax Number | 7853644848 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lincoln Mary |
| Telephone Number | 7853643534 |
NPI Number Detail
| NPI Number | 1962622027 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 625 Vermont Ave |
|---|---|
| City | Holton |
| State | Kansas (KS) |
| Post Code | 664362037 |
| Phone Number | 7853643534 |
| Fax Number | 7853644848 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000040610A | KS | -- |
Post Comment/ Review Below
What is the Jackson County Resource Center's unique identification number?
The Jackson County Resource Center has been assigned the NPI (National Provider Identifier) Number 1962622027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jackson County Resource Center is physically located?
The Jackson County Resource Center is situated at the following address: 625 Vermont Ave, Holton, KS 664362037.
What is Jackson County Resource Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackson County Resource Center is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
When was the Jackson County Resource Center's 1962622027 issued?
The Jackson County Resource Center's 1962622027 was issued on 2007-04-30.
When was the information regarding Jackson County Resource Center most recently updated?
The details pertaining to the Jackson County Resource Center, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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