Michael J Eltz in Lincoln - Residential Treatment Facility, Emotionally Disturbed Children

Michael J Eltz - NPI 1639131360

Michael J Eltz is a Residential Treatment Facility, Emotionally Disturbed Children in Lincoln, Rhode Island. Michael J Eltz practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Michael J Eltz is 1639131360. The last update date is 2008-02-20.

Michael J Eltz's current location address is 27 Knowles St, Lincoln, Rhode Island. You can contact this provider via phone number 4017147440 and fax number 4014902619. The mailing address for Michael J Eltz is 27 Knowles St, Lincoln, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Eltz
Address 27 Knowles St, Lincoln, Rhode Island
Phone Number 4017147440
Fax Number 4014902619
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1639131360
Provider Enumeration Date 2006-04-06
Last Updated Date 2008-02-20

Provider Mailing Address Detail

Address 27 Knowles St
City Lincoln
State Rhode Island (RI)
Post Code 28653301
Phone Number 4017147440
Fax Number 4014902619

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME37214 RI --

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FAQs about Michael J Eltz

What is the unique identification code assigned to Michael J Eltz by the Centers for Medicare & Medicaid Services?

The Michael J Eltz has been issued the NPI (National Provider Identifier) 1639131360. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michael J Eltz?

The Michael J Eltz is physically situated at 27 Knowles St, in the city of Lincoln, state of RI, with the postal code 28653301.

What is Michael J Eltz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael J Eltz is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.

On what date did the Michael J Eltz receive its 1639131360 assignment from the Centers for Medicare & Medicaid Services?

The Michael J Eltz was assigned its 1639131360 by the Centers for Medicare & Medicaid Services on 2006-04-06.

As of what date was the information regarding Michael J Eltz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael J Eltz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-20.

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