Mental Retardation Waiver Program in Columbus - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mental Retardation Waiver Program - NPI 1740475805
Mental Retardation Waiver Program is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Columbus, Georgia. Mental Retardation Waiver Program 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 is 1740475805. The last update date is 2007-09-12.
Mental Retardation Waiver Program's current location address is 2100 Comer Ave, Columbus, Georgia. You can contact this provider via phone number 7065965583 and fax number 7065965589. The mailing address for Mental Retardation Waiver Program is 2100 Comer Ave, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mental Retardation Waiver Program |
|---|---|
| Address | 2100 Comer Ave, 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 | 1740475805 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 2100 Comer Ave |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319048725 |
| 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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mental Retardation Waiver Program by the Centers for Medicare & Medicaid Services?
The Mental Retardation Waiver Program has been assigned the NPI (National Provider Identifier) 1740475805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mental Retardation Waiver Program's facilities are geographically located?
The facilities of Mental Retardation Waiver Program are physically situated at the following location: 2100 Comer Ave, Columbus, GA, 319048725.
What is Mental Retardation Waiver Program's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mental Retardation Waiver Program 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 Mental Retardation Waiver Program receive its 1740475805 assignment from the Centers for Medicare & Medicaid Services?
The Mental Retardation Waiver Program was assigned its 1740475805 on 2007-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mental Retardation Waiver Program, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mental Retardation Waiver Program, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-12.
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