Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X |
| NPI # | 1063802114 |
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| LBN Legal business name | KIDS IN MOTION | ||||||||
| Authorized official | MARY HYDORN - (PT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/28/2015 | ||||||||
| Last updated | 01/28/2015 - About 11 years ago | ||||||||
| Identifiers |
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