Individual provider · Type 1 NPI

Matthew Polk

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

NPI number 1386321008 Active

Practice location

1431 Cedar Ln
Wooster, OH 44691-2529

Specialties and licenses

TaxonomyCodeLicense
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 1386321008

Matthew Polk's National Provider Identifier is 1386321008, issued on Jul 4, 2023. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Wooster, OH. The record was last updated on Jul 4, 2023.