Individual provider · Type 1 NPI
Spencer Wendell Olson
Child Intellectual and/or Developmental Disabilities Respite Care · Shelley, ID
NPI number
1407572118
Active
Practice location
205 Spruce St
Shelley, ID 83274-1441
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 1407572118
Spencer Wendell Olson's National Provider Identifier is 1407572118, issued on Oct 13, 2022. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Shelley, ID. The record was last updated on Oct 13, 2022.