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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X | |||
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1538438809 |
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| LBN Legal business name | NELL'S PERSONAL CARE HOME, LLC | ||||
| Authorized official | CLIFFORD JACKSON - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/15/2011 | ||||
| Last updated | 12/15/2011 - About 14 years ago | ||||
| Identifiers |
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NELL'S PERSONAL CARE HOME, LLC