A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X |
| NPI # | 1528833993 |
| LBN Legal business name | ST EDMOND'S HOME FOR CHILDREN |
| Authorized official | DAWN ENGEL - (HIPAA OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/16/2023 |
| Last updated | 12/08/2023 - About 2 years ago |
| Identifiers | n/a |
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