| Name | Value |
|---|---|
| PROVIDER TYPE | Residential Treatment Facilities |
| CLASSIFICATION | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| DEFINITION | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
| STATUS | Active |
| X12 CODE | 320600000X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255045 |
| EFFECTIVE DATE/TIME |
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