Organization · Type 2 NPI

Laura Fonville

Child Intellectual and/or Developmental Disabilities Respite Care · Egg Harbor Township, NJ

NPI number 1134626591 Active

Practice location

218 Pine Ave
Egg Harbor Township, NJ 08234-5339

Specialties and licenses

TaxonomyCodeLicense
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060XNone 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.

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About NPI 1134626591

Laura Fonville's National Provider Identifier is 1134626591, issued on Apr 11, 2018. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Egg Harbor Township, NJ. The record was last updated on Apr 11, 2018.