Individual provider · Type 1 NPI
Kelli Sue Portland
Child Intellectual and/or Developmental Disabilities Respite Care · Milford, NJ
NPI number
1326527920
Active
Practice location
5 N Ridge Ct
Milford, NJ 08848-1654
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 1326527920
Kelli Sue Portland's National Provider Identifier is 1326527920, issued on Aug 14, 2018. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Milford, NJ. The record was last updated on Aug 14, 2018.