Mental Retardation Wavier Program in Columbus - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mental Retardation Wavier Program - NPI 1245425529
Mental Retardation Wavier Program is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Columbus, Georgia. Mental Retardation Wavier 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 Wavier Program is 1245425529. The last update date is 2007-09-12.
Mental Retardation Wavier Program's current location address is 2100 Comer Ave, Columbus, Georgia. You can contact this provider via phone number 7065965586. The mailing address for Mental Retardation Wavier Program is 2100 Comer Ave, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mental Retardation Wavier Program |
|---|---|
| Address | 2100 Comer Ave, Columbus, Georgia |
| Phone Number | 7065965586 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Alexander Perry |
| Telephone Number | 7065965582 |
NPI Number Detail
| NPI Number | 1245425529 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 2100 Comer Ave |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319048725 |
| Phone Number | 7065965586 |
| 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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mental Retardation Wavier Program by the Centers for Medicare & Medicaid Services?
The Mental Retardation Wavier Program has been assigned the NPI (National Provider Identifier) 1245425529 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 location address where Mental Retardation Wavier Program's facilities are situated?
The facilities of Mental Retardation Wavier Program are physically located at the following address: 2100 Comer Ave, Columbus, GA, 319048725.
What is Mental Retardation Wavier Program's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mental Retardation Wavier Program is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Mental Retardation Wavier Program receive the assignment of its 1245425529 from the Centers for Medicare & Medicaid Services?
The Mental Retardation Wavier Program was issued its 1245425529 by the Centers for Medicare & Medicaid Services on 2007-09-11.
As of what date was the information pertaining to Mental Retardation Wavier Program, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mental Retardation Wavier 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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