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 | |||
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1720019524 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 07/06/2006 | ||||
| Last updated | 09/14/2020 - About 6 years ago | ||||
| Identifiers |
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SUSAN L ALEXANDER
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