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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 |
| NPI # | 1972714780 |
| LBN Legal business name | PERSONAL CARE |
| Authorized official | MARCUS MURCHISON - (ADMINSTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/24/2007 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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PERSONAL CARE
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PERSONAL CARE