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NPI Profile for SHAWNA D DIETRICK in ROMULUS, MI.
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI Number | 1154955219 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/27/2020 | |
| Last updated | 02/27/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHAWNA D DIETRICK
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SHAWNA D DIETRICK