Organization · Type 2 NPI
Supporting Provider Services
Child Physical Disabilities Respite Care · Oak Creek, WI
NPI number
1114393527
Active
Practice location
8330 S Wynona Ct
Oak Creek, WI 53154-2740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Physical Disabilities Respite Care Primary | 385HR2065X | None listed |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
About NPI 1114393527
Supporting Provider Services's National Provider Identifier is 1114393527, issued on Aug 19, 2015. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Oak Creek, WI. The record was last updated on Aug 19, 2015.