Individual provider · Type 1 NPI
Sao Brima
Child Intellectual and/or Developmental Disabilities Respite Care · Youngtown, AZ
NPI number
1356004709
Active
Practice location
11615 W Hackbarth Dr
Youngtown, AZ 85363-1746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| 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 1356004709
Sao Brima's National Provider Identifier is 1356004709, issued on Oct 21, 2021. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Youngtown, AZ. The record was last updated on Jan 31, 2022.