Individual provider · Type 1 NPI
Kellie A. Markle
Child Intellectual and/or Developmental Disabilities Respite Care · Port Jervis, NY
NPI number
1457043747
Active
Practice location
23 Orchard Ln
Port Jervis, NY 12771-3916
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 1457043747
Kellie A. Markle's National Provider Identifier is 1457043747, issued on May 24, 2023. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Port Jervis, NY. The record was last updated on May 24, 2023.