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NPI Profile for SAO BRIMA in YOUNGTOWN, AZ.
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Home Health Aide |
374U00000X | |||
Respite Care |
385H00000X |
| NPI Number | 1356004709 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/21/2021 | |
| Last updated | 01/31/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SAO BRIMA
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SAO BRIMA