Individual provider · Type 1 NPI
Dixon Mwose
Day Training/Habilitation Specialist · South Bend, IN
NPI number
1598474652
Active
Practice location
2610 E Jefferson Blvd
South Bend, IN 46615-2724
Fax (574) 251-0869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | 201371060-A (IN) |
| Day Training/Habilitation Specialist Primary | 373H00000X | 201371060-A (IN) |
Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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About NPI 1598474652
Dixon Mwose's National Provider Identifier is 1598474652, issued on Nov 17, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in South Bend, IN. The record was last updated on Nov 30, 2022.