Mental Retardation Wavier Program in Columbus - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mental Retardation Wavier Program - NPI 1477748531
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 1477748531. 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 7065965583 and fax number 7065965589. 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 | 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 | 1477748531 |
|---|---|
| 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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What is the unique 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) 1477748531. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mental Retardation Wavier Program's facilities are geographically located?
The facilities of Mental Retardation Wavier Program are physically situated at the following location: 2100 Comer Ave, Columbus, GA, 319048725.
What is Mental Retardation Wavier Program's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mental Retardation Wavier Program is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When was the Mental Retardation Wavier Program's 1477748531 issued?
The Mental Retardation Wavier Program's 1477748531 was issued on 2007-09-12.
As of what date was the information regarding Mental Retardation Wavier Program, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mental Retardation Wavier Program, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY