One Of Our Own, Llc in Mechanicsville - Residential Treatment Facility, Emotionally Disturbed Children

One Of Our Own, Llc - NPI 1619174786

One Of Our Own, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Mechanicsville, Virginia. One Of Our Own, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for One Of Our Own, Llc is 1619174786. The last update date is 2020-08-22.

One Of Our Own, Llc's current location address is 7003 Mechanicsville Tpke, Mechanicsville, Virginia. You can contact this provider via phone number 8046581506 and fax number 8662178718. The mailing address for One Of Our Own, Llc is 7003 Mechanicsville Tpke, Mechanicsville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization One Of Our Own, Llc
Address 7003 Mechanicsville Tpke, Mechanicsville, Virginia
Phone Number 8046581506
Fax Number 8662178718
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ADMI
Authorized Official Name Smith Jawanda
Telephone Number 8046581506

NPI Number Detail

NPI Number 1619174786
Provider Enumeration Date 2007-07-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 7003 Mechanicsville Tpke
City Mechanicsville
State Virginia (VA)
Post Code 231117100
Phone Number 8046581506
Fax Number 8662178718

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No SS-358-07
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 One Of Our Own, Llc

What is the unique 10-digit identification code issued to One Of Our Own, Llc by the Centers for Medicare & Medicaid Services?

The One Of Our Own, Llc has been assigned the NPI (National Provider Identifier) 1619174786 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 physical address where One Of Our Own, Llc is located?

The One Of Our Own, Llc is situated at the following address: 7003 Mechanicsville Tpke, Mechanicsville, VA, 231117100.

What is One Of Our Own, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The One Of Our Own, Llc's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.

On what date did One Of Our Own, Llc receive its 1619174786 assignment from the Centers for Medicare & Medicaid Services?

The One Of Our Own, Llc was assigned its 1619174786 on 2007-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to One Of Our Own, Llc most recently updated or revised?

The information pertaining to One Of Our Own, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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