Lake Grove Maple Valley in Wendell - Residential Treatment Facility, Emotionally Disturbed Children
Lake Grove Maple Valley - NPI 1841468980
Lake Grove Maple Valley is a Residential Treatment Facility, Emotionally Disturbed Children in Wendell, Massachusetts. Lake Grove Maple Valley practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Lake Grove Maple Valley is 1841468980. The last update date is 2008-02-12.
Lake Grove Maple Valley's current location address is 6 Farley Rd, Wendell, Massachusetts. You can contact this provider via phone number 9785446913 and fax number 9785448672. The mailing address for Lake Grove Maple Valley is 6 Farley Rd, Wendell, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Grove Maple Valley |
|---|---|
| Address | 6 Farley Rd, Wendell, Massachusetts |
| Phone Number | 9785446913 |
| Fax Number | 9785448672 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Wienclaw Felix |
| Telephone Number | 6316961400 |
NPI Number Detail
| NPI Number | 1841468980 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 6 Farley Rd |
|---|---|
| City | Wendell |
| State | Massachusetts (MA) |
| Post Code | 13799706 |
| Phone Number | 9785446913 |
| Fax Number | 9785448672 |
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 Lake Grove Maple Valley by the Centers for Medicare & Medicaid Services?
The Lake Grove Maple Valley has been issued the NPI (National Provider Identifier) 1841468980, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lake Grove Maple Valley is physically located?
The Lake Grove Maple Valley is situated at the following address: 6 Farley Rd, Wendell, MA 13799706.
What is Lake Grove Maple Valley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Grove Maple Valley is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841468980 to Lake Grove Maple Valley?
The Centers for Medicare & Medicaid Services originally issued the 1841468980 to Lake Grove Maple Valley on 2008-02-12.
As of what date were the details related to Lake Grove Maple Valley most recently updated or revised?
The information pertaining to Lake Grove Maple Valley, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-12.
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