Devereux Cleo Wallace in Westminster - Psychiatric Residential Treatment Facility
Devereux Cleo Wallace - NPI 1184723660
Devereux Cleo Wallace is a Psychiatric Residential Treatment Facility in Westminster, Colorado. Devereux Cleo Wallace practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Devereux Cleo Wallace is 1184723660. The last update date is 2022-03-11.
Devereux Cleo Wallace's current location address is 8405 Church Ranch Blvd, Westminster, Colorado. You can contact this provider via phone number 3034667391. The mailing address for Devereux Cleo Wallace is 8405 Church Ranch Blvd, Westminster, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Devereux Cleo Wallace |
|---|---|
| Address | 8405 Church Ranch Blvd, Westminster, Colorado |
| Phone Number | 3034667391 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | QUALITY IM |
|---|---|
| Authorized Official Name | Wright Bonnie |
| Telephone Number | 3034382265 |
NPI Number Detail
| NPI Number | 1184723660 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2022-03-11 |
Provider Mailing Address Detail
| Address | 8405 Church Ranch Blvd |
|---|---|
| City | Westminster |
| State | Colorado (CO) |
| Post Code | 800213918 |
| Phone Number | 3034667391 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 39794 |
|
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5350053 | CO | -- | |
| 17284554 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Devereux Cleo Wallace by the Centers for Medicare & Medicaid Services?
The Devereux Cleo Wallace has been issued the NPI (National Provider Identifier) 1184723660 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Devereux Cleo Wallace is physically located?
The Devereux Cleo Wallace is physically situated at the following address: 8405 Church Ranch Blvd, Westminster, CO, 800213918.
What is the area of specialization for Devereux Cleo Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Devereux Cleo Wallace is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this area of expertise is 323P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184723660 to Devereux Cleo Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1184723660 to Devereux Cleo Wallace on 2006-09-21.
As of what date was the information regarding Devereux Cleo Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Devereux Cleo Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-11.
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