Individual provider · Type 1 NPI
Kelly Marie Porter
Child Intellectual and/or Developmental Disabilities Respite Care · Massillon, OH
NPI number
1639405806
Active
Practice location
525 Harding Ave NW
Massillon, OH 44646-3252
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.
Other child intellectual and/or developmental disabilities respite care providers in Massillon
About NPI 1639405806
Kelly Marie Porter's National Provider Identifier is 1639405806, issued on Oct 23, 2009. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Massillon, OH. The record was last updated on Oct 23, 2009.