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 |
| NPI # | 1609033588 |
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| LBN Legal business name | PTL PEDIATRIC DAYCARE | ||||||||
| Authorized official | CYNTHIA BURNS - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/19/2008 | ||||||||
| Last updated | 05/19/2008 - About 18 years ago | ||||||||
| Identifiers |
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