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 | |||
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Developmental Disabilities |
261QD1600X |
| NPI # | 1760213888 |
| LBN Legal business name | MINDHAVEN HEALTHCARE INC |
| Authorized official | FELIX OSEGBOUN - (MANAGING DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/10/2024 |
| Last updated | 11/02/2024 - More than a year ago |
| Identifiers | n/a |
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