Residence Xii in Kirkland - Substance Abuse Rehabilitation Facility

Residence Xii - NPI 1942220868

Residence Xii is a Substance Abuse Rehabilitation Facility in Kirkland, Washington. Residence Xii practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Residence Xii is 1942220868. The last update date is 2008-07-28.

Residence Xii's current location address is 12029 113th Ave Ne, Kirkland, Washington. You can contact this provider via phone number 4258238844 and fax number 4258202371. The mailing address for Residence Xii is 12029 113th Ave Ne, Kirkland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Residence Xii
Address 12029 113th Ave Ne, Kirkland, Washington
Phone Number 4258238844
Fax Number 4258202371
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Kilwine Amber
Telephone Number 4258238844

NPI Number Detail

NPI Number 1942220868
Provider Enumeration Date 2006-07-21
Last Updated Date 2008-07-28

Provider Mailing Address Detail

Address 12029 113th Ave Ne
City Kirkland
State Washington (WA)
Post Code 980346901
Phone Number 4258238844
Fax Number 4258202371

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 17005200
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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FAQs about Residence Xii

What is the unique 10-digit identifier code assigned to Residence Xii by the Centers for Medicare & Medicaid Services?

The Residence Xii has been issued the NPI (National Provider Identifier) 1942220868 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Residence Xii is geographically located?

The Residence Xii is physically situated at the following location: 12029 113Th Ave Ne, Kirkland, WA, 980346901.

What is the Residence Xii's specialty and taxonomy code?

The Residence Xii's specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942220868 to Residence Xii?

The Centers for Medicare & Medicaid Services assigned the 1942220868 to Residence Xii on 2006-07-21.

When was the Residence Xii's information last updated?

The Residence Xii's information was last updated on 2008-07-28.

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