Keellen, Llc in Creedmoor - Residential Treatment Facility, Emotionally Disturbed Children
Keellen, Llc - NPI 1740365220
Keellen, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Creedmoor, North Carolina. Keellen, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Keellen, Llc is 1740365220. The last update date is 2009-04-02.
Keellen, Llc's current location address is Po Box 14, Creedmoor, North Carolina. You can contact this provider via phone number 9195291965 and fax number 9197649731. The mailing address for Keellen, Llc is Po Box 14, Creedmoor, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keellen, Llc |
|---|---|
| Address | Po Box 14, Creedmoor, North Carolina |
| Phone Number | 9195291965 |
| Fax Number | 9197649731 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Ellen Mary |
| Telephone Number | 9195291965 |
NPI Number Detail
| NPI Number | 1740365220 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2009-04-02 |
Provider Mailing Address Detail
| Address | Po Box 14 |
|---|---|
| City | Creedmoor |
| State | North Carolina (NC) |
| Post Code | 275220014 |
| Phone Number | 9195291965 |
| Fax Number | 9197649731 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-030-028 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603254 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Keellen, Llc by the Centers for Medicare & Medicaid Services?
The Keellen, Llc has been issued the NPI (National Provider Identifier) 1740365220. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Keellen, Llc located?
The Keellen, Llc is located at Po Box 14, Creedmoor, NC 275220014.
What is Keellen, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keellen, Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740365220 to Keellen, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1740365220 to Keellen, Llc on 2006-10-25.
When was the information related to Keellen, Llc most recently updated or refreshed?
The details pertaining to the Keellen, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-02.