Maryville Academy in Durand - Residential Treatment Facility, Emotionally Disturbed Children
Maryville Academy - NPI 1477700474
Maryville Academy is a Residential Treatment Facility, Emotionally Disturbed Children in Durand, Illinois. Maryville Academy practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Maryville Academy is 1477700474. The last update date is 2008-08-20.
Maryville Academy's current location address is 10102 Farm School Rd, Durand, Illinois. You can contact this provider via phone number 8155993801. The mailing address for Maryville Academy is 10102 Farm School Rd, Durand, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maryville Academy |
|---|---|
| Address | 10102 Farm School Rd, Durand, Illinois |
| Phone Number | 8155993801 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Harrington Maura |
| Telephone Number | 8472941826 |
NPI Number Detail
| NPI Number | 1477700474 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2008-08-20 |
Provider Mailing Address Detail
| Address | 10102 Farm School Rd |
|---|---|
| City | Durand |
| State | Illinois (IL) |
| Post Code | 610249725 |
| Phone Number | 8155993801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 106103 |
|
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 identification code issued to Maryville Academy by the Centers for Medicare & Medicaid Services?
The Maryville Academy has been assigned the NPI (National Provider Identifier) 1477700474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Maryville Academy's physical address?
The Maryville Academy is physically located at 10102 Farm School Rd, in the city of Durand, IL, with the postal code 610249725.
What is Maryville Academy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maryville Academy is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477700474 to Maryville Academy?
The Centers for Medicare & Medicaid Services originally issued the 1477700474 to Maryville Academy on 2008-08-20.
When was the information pertaining to Maryville Academy most recently updated or revised?
The details related to Maryville Academy, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-20.
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