Individual provider · Type 1 NPI

Miranda Tatom

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

NPI number 1013649490 Active

Practice location

3292 Benchwood Rd
Dayton, OH 45414-2704

Specialties and licenses

TaxonomyCodeLicense
Homemaker 376J00000XNone 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 1013649490

Miranda Tatom's National Provider Identifier is 1013649490, issued on Jun 25, 2022. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Dayton, OH. The record was last updated on Jun 25, 2022.