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A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Case Management |
251B00000X |
| NPI # | 1043928187 |
| LBN Legal business name | IDENTITY OUTREACH PROGRAM CORP. |
| Authorized official | JASMINE TUCKER - (CEO/FOUNDER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/08/2022 |
| Last updated | 03/12/2023 - About 3 years ago |
| Identifiers | n/a |
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IDENTITY OUTREACH PROGRAM CORP.
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IDENTITY OUTREACH PROGRAM CORP.