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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 | |||
Respite Care Camp |
385HR2050X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI # | 1912352071 |
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| LBN Legal business name | MY SECOND HOME | ||||
| Authorized official | KRISTIN SMOCK - (DIRECTOR OF OPERATIONS) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/26/2016 | ||||
| Last updated | 04/26/2016 - About 10 years ago | ||||
| Identifiers |
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MY SECOND HOME
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MY SECOND HOME