Individual provider · Type 1 NPI
Krista Renea Gearhart
Child Intellectual and/or Developmental Disabilities Respite Care · Shelton, WA
Practice location
520 E Meyer Lake Dr
Shelton, WA 98584-7412
Mailing address
2480 E Mcewan Prairie Rd
Shelton, WA 98584-9678
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 1124654835
Krista Renea Gearhart's National Provider Identifier is 1124654835, issued on Mar 14, 2020. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Shelton, WA. The record was last updated on Mar 14, 2020.