Organization · Type 2 NPI
Carly Baker
Child Intellectual and/or Developmental Disabilities Respite Care · West Salem, WI
Practice location
146 E Tilson St.
West Salem, WI 54669-1213
Mailing address
146 Tilson St E
West Salem, WI 54669-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | 302971-031 (WI) |
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 1164739934
Carly Baker's National Provider Identifier is 1164739934, issued on Sep 1, 2010. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in West Salem, WI. The record was last updated on Sep 1, 2010.