Jacqueline J Vculik in Grass Valley - Residential Treatment Facility, Emotionally Disturbed Children
Jacqueline J Vculik - NPI 1093978595
Jacqueline J Vculik is a Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, California. Jacqueline J Vculik practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Jacqueline J Vculik is 1093978595. The last update date is 2008-07-03.
Jacqueline J Vculik's current location address is 714 W Main St, Grass Valley, California. You can contact this provider via phone number 5304779800 and fax number 5304779800. The mailing address for Jacqueline J Vculik is 714 W Main St, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline J Vculik |
|---|---|
| Address | 714 W Main St, Grass Valley, California |
| Phone Number | 5304779800 |
| Fax Number | 5304779800 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093978595 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 714 W Main St |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 959456410 |
| Phone Number | 5304779800 |
| Fax Number | 5304779800 |
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacqueline J Vculik by the Centers for Medicare & Medicaid Services?
The Jacqueline J Vculik has been issued the NPI (National Provider Identifier) 1093978595, which 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 Jacqueline J Vculik?
The Jacqueline J Vculik is physically situated at 714 W Main St, in the city of Grass Valley, state of CA, with the postal code 959456410.
What is Jacqueline J Vculik's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline J Vculik's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093978595 to Jacqueline J Vculik?
The Centers for Medicare & Medicaid Services assigned the 1093978595 to Jacqueline J Vculik on 2008-07-03.
As of what date were the details related to Jacqueline J Vculik most recently updated or revised?
The information pertaining to Jacqueline J Vculik, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-03.
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