Debra Lee Collins in San Jose - Residential Treatment Facility, Emotionally Disturbed Children

Debra Lee Collins - NPI 1013197052

Debra Lee Collins is a Residential Treatment Facility, Emotionally Disturbed Children in San Jose, California. Debra Lee Collins practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Debra Lee Collins is 1013197052. The last update date is 2007-11-07.

Debra Lee Collins's current location address is 455 Silicon Valley Blvd, San Jose, California. You can contact this provider via phone number 4082849031 and fax number 4082849058. The mailing address for Debra Lee Collins is 455 Silicon Valley Blvd, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Debra Lee Collins
Address 455 Silicon Valley Blvd, San Jose, California
Phone Number 4082849031
Fax Number 4082849058
Sole Proprietor Y
Credentials R.N.

NPI Number Detail

NPI Number 1013197052
Provider Enumeration Date 2007-11-07
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address 455 Silicon Valley Blvd
City San Jose
State California (CA)
Post Code 951381858
Phone Number 4082849031
Fax Number 4082849058

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 351052
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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FAQs about Debra Lee Collins

What is the unique 10-digit identifier code assigned to Debra Lee Collins by the Centers for Medicare & Medicaid Services?

The Debra Lee Collins has been issued the NPI (National Provider Identifier) 1013197052 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Debra Lee Collins is physically located?

The Debra Lee Collins is physically situated at the following address: 455 Silicon Valley Blvd, San Jose, CA, 951381858.

What is the Debra Lee Collins's specialty and taxonomy code?

The Debra Lee Collins's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.

On what date was the 1013197052 assigned to Debra Lee Collins?

The Debra Lee Collins was issued its 1013197052 on 2007-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Debra Lee Collins, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Debra Lee Collins, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-07.

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