Individual provider · Type 1 NPI
Kimberly Dean - Commodore
Child Intellectual and/or Developmental Disabilities Respite Care · Fairfield Township, OH
Practice location
5645 Liberty Fairfield Rd
Fairfield Township, OH 45011-2251
Mailing address
PO Box 1154
Middletown, OH 45042-0854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care | 385H00000X | None listed |
| 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 1174238729
Kimberly Dean - Commodore's National Provider Identifier is 1174238729, issued on Jan 18, 2023. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Fairfield Township, OH. The record was last updated on Jan 18, 2023.