Organization · Type 2 NPI
Nicole Brooke James
Intellectual Disabilities Intermediate Care Facility · Portsmouth, OH
NPI number
1407115850
Active
Practice location
4050 State Route 139
Portsmouth, OH 45662-8629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | PN.148781-M-IV (OH) |
| Child Mental Illness Respite Care | 385HR2055X | PN.148781-M-IV (OH) |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | PN.148781-M-IV (OH) |
| Child Physical Disabilities Respite Care | 385HR2065X | PN.148781-M-IV (OH) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1407115850
Nicole Brooke James's National Provider Identifier is 1407115850, issued on May 4, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Portsmouth, OH. The record was last updated on May 4, 2012.