Organization · Type 2 NPI
Providence Respite Inc
Child Intellectual and/or Developmental Disabilities Respite Care · Upland, CA
NPI number
1194489237
Active
Practice location
400 N Mountain Ave Ste 123C
Upland, CA 91786-5176
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 1194489237
Providence Respite Inc's National Provider Identifier is 1194489237, issued on Oct 25, 2021. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Upland, CA. The record was last updated on Oct 25, 2021.