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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 | |||
Homemaker |
376J00000X |
| NPI # | 1356891907 |
| LBN Legal business name | JNB HEADWATERS, LLC |
| Authorized official | JAMES OWSIANY - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/07/2016 |
| Last updated | 02/20/2017 - About 9 years ago |
| Identifiers | n/a |
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JNB HEADWATERS, LLC