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 Health |
261QC1500X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Supports Brokerage |
251X00000X |
| NPI Number | 1982353769 |
| LBN Legal business name | CHAVRUSA MATCH |
| Authorized official | SAMUEL GOLDSTEIN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/21/2022 |
| Last updated | 03/29/2022 - About 4 years ago |
| Identifiers | n/a |
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