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A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI Number | 1154955219 |
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| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 02/27/2020 | ||||||||
| Last updated | 02/27/2020 - About 6 years ago | ||||||||
| Identifiers |
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SHAWNA D DIETRICK
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SHAWNA D DIETRICK