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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 | |||
Nursing Care |
251J00000X |
| NPI # | 1114061520 |
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| LBN Legal business name | CHILDSERVE COMMUNITY OPTIONS, INC. | ||||
| Authorized official | RODNEY WILDRICK - (DIRECTOR OF ACCOUNTING) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 02/18/2007 | ||||
| Last updated | 09/01/2010 - About 16 years ago | ||||
| Identifiers |
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CHILDSERVE COMMUNITY OPTIONS, INC.