Individual provider · Type 1 NPI
Traci Lynne Dickerson
Child Intellectual and/or Developmental Disabilities Respite Care · Garfield Heights, OH
Practice location
12116 Darlington Ave
Garfield Heights, OH 44125-3745
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.
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About NPI 1467314401
Traci Lynne Dickerson's National Provider Identifier is 1467314401, issued on Nov 28, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Garfield Heights, OH. The record was last updated on Nov 28, 2025.