Individual provider · Type 1 NPI
Canesa Marie Jackson-Chapple
Child Intellectual and/or Developmental Disabilities Respite Care · Lafayette, IN
NPI number
1053027797
Active
Practice location
3095 Pheasant Run Dr Apt 625
Lafayette, IN 47909-3370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None 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.
Other child intellectual and/or developmental disabilities respite care providers in Lafayette
About NPI 1053027797
Canesa Marie Jackson-Chapple's National Provider Identifier is 1053027797, issued on Jan 26, 2023. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Lafayette, IN. The record was last updated on Jan 26, 2023.