Mental Retardation Wavier Program in Columbus - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mental Retardation Wavier Program - NPI 1376738781
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 1376738781. The last update date is 2007-09-13.
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 | 1376738781 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-13 |
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. |
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What is the unique 10-digit identification code assigned to Mental Retardation Wavier Program by the Centers for Medicare & Medicaid Services?
The Mental Retardation Wavier Program has been issued the NPI (National Provider Identifier) 1376738781, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
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 area of expertise and its corresponding taxonomy classification?
The Mental Retardation Wavier Program's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mental Retardation Wavier Program receive the assignment of its 1376738781 from the Centers for Medicare & Medicaid Services?
The Mental Retardation Wavier Program was issued its 1376738781 by the Centers for Medicare & Medicaid Services on 2007-09-10.
When was the information regarding Mental Retardation Wavier Program most recently updated?
The details pertaining to the Mental Retardation Wavier Program, including its address, specialty, and other relevant information, were last refreshed on 2007-09-13.