Jacy 2, Llc in New Prague - Substance Abuse Treatment, Children
Jacy 2, Llc - NPI 1124212873
Jacy 2, Llc is a Substance Abuse Treatment, Children in New Prague, Minnesota. Jacy 2, Llc practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Jacy 2, Llc is 1124212873. The last update date is 2007-09-05.
Jacy 2, Llc's current location address is 1096 E 260th St, New Prague, Minnesota. You can contact this provider via phone number 3202559530. The mailing address for Jacy 2, Llc is 1096 E 260th St, New Prague, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacy 2, Llc |
|---|---|
| Address | 1096 E 260th St, New Prague, Minnesota |
| Phone Number | 3202559530 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilson Marie Carmen |
| Telephone Number | 3202559530 |
NPI Number Detail
| NPI Number | 1124212873 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 1096 E 260th St |
|---|---|
| City | New Prague |
| State | Minnesota (MN) |
| Post Code | 560718880 |
| Phone Number | 3202559530 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 1047343 |
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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 children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jacy 2, Llc?
The Jacy 2, Llc has been issued the NPI (National Provider Identifier) 1124212873 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jacy 2, Llc is located?
The Jacy 2, Llc is situated at the following address: 1096 E 260Th St, New Prague, MN, 560718880.
What is Jacy 2, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacy 2, Llc is Substance Abuse Treatment, Children, and the corresponding taxonomy classification code for this specialized field is 3245S0500X.
On what date did Jacy 2, Llc receive its 1124212873 assignment from the Centers for Medicare & Medicaid Services?
The Jacy 2, Llc was assigned its 1124212873 on 2007-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacy 2, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacy 2, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-05.
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