Organization · Type 2 NPI
Tami Pernell
Pediatric Skilled Nursing Facility · Urbana, OH
NPI number
1073917985
Active
Practice location
168 E State Route 296
Urbana, OH 43078-9325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 128642 (OH) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1073917985
Tami Pernell's National Provider Identifier is 1073917985, issued on Oct 21, 2014. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Urbana, OH. The record was last updated on Oct 21, 2014.