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KENNETH B WALKER RESIDENTIAL HOME INC NPI 1346627460


NPI Information

NPI: 1346627460
Provider Name: KENNETH B WALKER RESIDENTIAL HOME INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3575 MACON RD
SUITE 25
COLUMBUS, GA
ZIP 31907
Phone: (706) 940-0478
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KENNETH B WALKER RESIDENTIAL HOME INC is a community based residential treatment facility mental illness in Columbus, GA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. KENNETH B WALKER RESIDENTIAL HOME INC NPI is 1346627460. The provider is registered as an organization entity type.

The provider's business location address is:

3575 MACON RD
SUITE 25
COLUMBUS, GA
ZIP 31907-200
Phone: (706) 940-0478
Fax: (706) 940-0479

The provider's authorized official is Timothy Crumbley .
The authorized official title is Chief Executive Officer and has the following contact phone number (706) 681-1991.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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