Southern Oaks Residential Academy in Pelham - Residential Treatment Facility, Emotionally Disturbed Children
Southern Oaks Residential Academy - NPI 1588650816
Southern Oaks Residential Academy is a Residential Treatment Facility, Emotionally Disturbed Children in Pelham, Alabama. Southern Oaks Residential Academy practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Southern Oaks Residential Academy is 1588650816. The last update date is 2020-08-22.
Southern Oaks Residential Academy's current location address is Po Box 1625, Pelham, Alabama. You can contact this provider via phone number 2056643480 and fax number 2056851477. The mailing address for Southern Oaks Residential Academy is Po Box 1625, Pelham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Oaks Residential Academy |
|---|---|
| Address | Po Box 1625, Pelham, Alabama |
| Phone Number | 2056643480 |
| Fax Number | 2056851477 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kakoliris Ann Penny |
| Telephone Number | 2056649480 |
NPI Number Detail
| NPI Number | 1588650816 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1625 |
|---|---|
| City | Pelham |
| State | Alabama (AL) |
| Post Code | 351245625 |
| Phone Number | 2056643480 |
| Fax Number | 2056851477 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code assigned to Southern Oaks Residential Academy by the Centers for Medicare & Medicaid Services?
The Southern Oaks Residential Academy has been issued the NPI (National Provider Identifier) 1588650816, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Southern Oaks Residential Academy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Oaks Residential Academy is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
When did the Southern Oaks Residential Academy receive its 1588650816?
The Southern Oaks Residential Academy was issued its 1588650816 on 2005-09-22, which is the date when the organization was assigned this unique identifier.
On what date did the Southern Oaks Residential Academy receive its 1588650816 assignment from the Centers for Medicare & Medicaid Services?
The Southern Oaks Residential Academy was assigned its 1588650816 by the Centers for Medicare & Medicaid Services on 2005-09-22.
As of what date were the details related to Southern Oaks Residential Academy most recently updated or revised?
The information pertaining to Southern Oaks Residential Academy, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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