Individual provider · Type 1 NPI

Dominick Wobser

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

NPI number 1467059345 Active

Practice location

33365 Ambleside Dr
Avon Lake, OH 44012-2361

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.

About NPI 1467059345

Dominick Wobser's National Provider Identifier is 1467059345, issued on Oct 5, 2020. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Avon Lake, OH. The record was last updated on Oct 5, 2020.