304 in Mandan - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
304 - NPI 1235309063
304 is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mandan, North Dakota. 304 practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for 304 is 1235309063. The last update date is 2020-10-30.
304's current location address is 304 11th St Ne, Mandan, North Dakota. You can contact this provider via phone number 7016631635. The mailing address for 304 is 304 11th St Ne, Mandan, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 304 |
|---|---|
| Address | 304 11th St Ne, Mandan, North Dakota |
| Phone Number | 7016631635 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Remboldt Mike |
| Telephone Number | 7016630379 |
NPI Number Detail
| NPI Number | 1235309063 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2020-10-30 |
Provider Mailing Address Detail
| Address | 304 11th St Ne |
|---|---|
| City | Mandan |
| State | North Dakota (ND) |
| Post Code | 585542140 |
| Phone Number | 7016631635 |
| 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 issued to 304 by the Centers for Medicare & Medicaid Services?
The 304 has been assigned the NPI (National Provider Identifier) 1235309063 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where 304 is geographically located?
The 304 is physically situated at the following location: 304 11Th St Ne, Mandan, ND, 585542140.
What is 304's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 304 is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the 304 receive its 1235309063 assignment from the Centers for Medicare & Medicaid Services?
The 304 was assigned its 1235309063 by the Centers for Medicare & Medicaid Services on 2008-03-07.
As of what date were the details related to 304 most recently updated or revised?
The information pertaining to 304, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-30.
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