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A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Behavioral Health |
251S00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Health Service |
261QH0100X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Nursing Care |
251J00000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X | |||
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI # | 1396475844 |
| LBN Legal business name | POTTERVILLE CARE LLC |
| Authorized official | TAIWO AJAYI - (MANAGING MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/15/2022 |
| Last updated | 06/15/2022 - About 4 years ago |
| Identifiers | n/a |
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POTTERVILLE CARE LLC