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A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Physical Disabilities |
320700000X | |||
Case Management |
251B00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Community/Behavioral Health |
251S00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Mental Health |
101YM0800X |
| NPI # | 1871141986 |
| LBN Legal business name | KIDDOS THERAPY KONNECTION LLC |
| Authorized official | CHARLIE COCHRAN - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/01/2019 |
| Last updated | 09/01/2019 - About 7 years ago |
| Identifiers | n/a |
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KIDDOS THERAPY KONNECTION LLC