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 | |||
Developmental Disabilities |
261QD1600X | |||
Prevention Professional |
405300000X | |||
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1518679984 |
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| Entity | Organization | ||||||||||||
| Organization subpart 1 | Not specified | ||||||||||||
| Enumeration date | 12/16/2022 | ||||||||||||
| Last updated | 12/16/2022 - About 3 years ago | ||||||||||||
| Identifiers |
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CARLA D WILLIAMS
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