Individual provider · Type 1 NPI
Tracey Leh Davis, SHARED LIVING
Child Intellectual and/or Developmental Disabilities Respite Care · Wellston, OH
NPI number
1053916338
Active
Practice location
207 Melvin Downard Rd
Wellston, OH 45692-9232
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.
About NPI 1053916338
Tracey Leh Davis, SHARED LIVING's National Provider Identifier is 1053916338, issued on Dec 3, 2020. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Wellston, OH. The record was last updated on Dec 3, 2020.