Mental Retardation Wavier Program in Hamilton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mental Retardation Wavier Program - NPI 1639364045
Mental Retardation Wavier Program is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Hamilton, 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 1639364045. The last update date is 2007-09-10.
Mental Retardation Wavier Program's current location address is Carner Resource Center, Hamilton, Georgia. You can contact this provider via phone number 7065965765. The mailing address for Mental Retardation Wavier Program is Carner Resource Center, Hamilton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mental Retardation Wavier Program |
|---|---|
| Address | Carner Resource Center, Hamilton, Georgia |
| Phone Number | 7065965765 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Alexander Perry |
| Telephone Number | 7065965582 |
NPI Number Detail
| NPI Number | 1639364045 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | Carner Resource Center |
|---|---|
| City | Hamilton |
| State | Georgia (GA) |
| Post Code | 318110000 |
| Phone Number | 7065965765 |
| 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 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) 1639364045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mental Retardation Wavier Program is physically located?
The Mental Retardation Wavier Program is situated at the following address: Carner Resource Center, Hamilton, GA 318110000.
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 did Mental Retardation Wavier Program receive its 1639364045 assignment?
The Mental Retardation Wavier Program was assigned its 1639364045 on 2007-09-10, which is the date when this unique identifier was issued to the organization.
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 2007-09-10.
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