Individual provider · Type 1 NPI

Nicole La'shawn Mangle

Child Intellectual and/or Developmental Disabilities Respite Care · Cleveland, OH

NPI number 1306668066 Active

Practice location

15626 Holmes Ave
Cleveland, OH 44110-2446

Call (216) 598-1518 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
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 1306668066

Nicole La'shawn Mangle's National Provider Identifier is 1306668066, issued on Oct 24, 2024. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Cleveland, OH. The record was last updated on Oct 24, 2024.