Taxonomy Code 3104A0625X(3104a0625x)
Assisted Living Facility (Mental Illness). Providers: 1

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Assisted Living Facility (Mental Illness) Providers

NPI Name Type Address

1306162706

Country Grove Home Llc

Organization

N11151 17th Ave

Necedah, WI

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 3104A0625X
Specialization Assisted Living, Mental Illness
Display Name Assisted Living Facility (Mental Illness)
Taxonomy Group Nursing & Custodial Care Facilities
Taxonomy Classification Assisted Living Facility
Definition A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Effective Date September 30, 2009
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Assisted Living Facility Codes

Assisted Living Facility

310400000X • providers: 20,606

Assisted Living Facility (Behavioral Disturbances)

3104A0630X • providers: 381