Individual provider · Type 1 NPI

Holden Mark Creswell

Child Intellectual and/or Developmental Disabilities Respite Care · Kent, OH

NPI number 1003505025 Active

Practice location

1639 E Main St Lot 7
Kent, OH 44240-2851

Mailing address

1639 E Main St
Kent, OH 44240-2855

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060XNone listed

Child Intellectual and/or Developmental Disabilities Respite Care: 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.

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About NPI 1003505025

Holden Mark Creswell's National Provider Identifier is 1003505025, issued on May 4, 2023. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Kent, OH. The record was last updated on May 4, 2023.