Providence Self Sufficiency Ministries in Georgetown - Community Based Residential Treatment Facility, Mental Illness
Providence Self Sufficiency Ministries - NPI 1477603538
Providence Self Sufficiency Ministries is a Community Based Residential Treatment Facility, Mental Illness in Georgetown, Indiana. Providence Self Sufficiency Ministries practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Providence Self Sufficiency Ministries is 1477603538. The last update date is 2023-02-27.
Providence Self Sufficiency Ministries's current location address is 8037 Unruh Dr, Georgetown, Indiana. You can contact this provider via phone number 8129511878 and fax number 8129510398. The mailing address for Providence Self Sufficiency Ministries is 8037 Unruh Dr, Georgetown, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Self Sufficiency Ministries |
|---|---|
| Address | 8037 Unruh Dr, Georgetown, Indiana |
| Phone Number | 8129511878 |
| Fax Number | 8129510398 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Henderson Joel |
| Telephone Number | 8129511878 |
NPI Number Detail
| NPI Number | 1477603538 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2023-02-27 |
Provider Mailing Address Detail
| Address | 8037 Unruh Dr |
|---|---|
| City | Georgetown |
| State | Indiana (IN) |
| Post Code | 471228759 |
| Phone Number | 8129511878 |
| Fax Number | 8129510398 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200358070 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Providence Self Sufficiency Ministries by the Centers for Medicare & Medicaid Services?
The Providence Self Sufficiency Ministries has been issued the NPI (National Provider Identifier) 1477603538 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 location address where Providence Self Sufficiency Ministries's facilities are situated?
The facilities of Providence Self Sufficiency Ministries are physically located at the following address: 8037 Unruh Dr, Georgetown, IN, 471228759.
What is the Providence Self Sufficiency Ministries's area of specialization and corresponding taxonomy classification?
The Providence Self Sufficiency Ministries's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477603538 to Providence Self Sufficiency Ministries?
The Centers for Medicare & Medicaid Services originally issued the 1477603538 to Providence Self Sufficiency Ministries on 2007-01-11.
As of what date were the details pertaining to Providence Self Sufficiency Ministries last refreshed?
The information related to the Providence Self Sufficiency Ministries, including its address, specialty, and other relevant details, was last updated on 2023-02-27.
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