Sraintree Village in Valdosta - Residential Treatment Facility, Emotionally Disturbed Children
Sraintree Village - NPI 1730202219
Sraintree Village is a Residential Treatment Facility, Emotionally Disturbed Children in Valdosta, Georgia. Sraintree Village practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Sraintree Village is 1730202219. The last update date is 2020-08-22.
Sraintree Village's current location address is 3757 Johnston Rd, Valdosta, Georgia. You can contact this provider via phone number 2295595944. The mailing address for Sraintree Village is 3757 Johnston Rd, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sraintree Village |
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Address | 3757 Johnston Rd, Valdosta, Georgia |
Phone Number | 2295595944 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ASST. ADMI |
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Authorized Official Name | Sanders E Edward |
Credentials | LMSW |
Telephone Number | 2295595944 |
NPI Number Detail
NPI Number | 1730202219 |
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Provider Enumeration Date | 2007-04-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3757 Johnston Rd |
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City | Valdosta |
State | Georgia (GA) |
Post Code | 316012105 |
Phone Number | 2295595944 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | CPA-40075 |
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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What is the unique 10-digit identifier code issued to Sraintree Village by the Centers for Medicare & Medicaid Services?
The Sraintree Village has been assigned the NPI (National Provider Identifier) 1730202219 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Sraintree Village is physically located?
The Sraintree Village is physically situated at the following address: 3757 Johnston Rd, Valdosta, GA, 316012105.
What is Sraintree Village's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sraintree Village is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
On what date did Sraintree Village receive its 1730202219 assignment from the Centers for Medicare & Medicaid Services?
The Sraintree Village was assigned its 1730202219 on 2007-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sraintree Village most recently updated or refreshed?
The details pertaining to the Sraintree Village, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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