Individual provider · Type 1 NPI
Tina Sims
Child Intellectual and/or Developmental Disabilities Respite Care · Somerville, OH
NPI number
1649872656
Active
Practice location
9203 Gratis Jacksonburg Rd
Somerville, OH 45064-9335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | M6800288 (OH) |
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 1649872656
Tina Sims's National Provider Identifier is 1649872656, issued on Nov 13, 2020. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Somerville, OH. The record was last updated on Nov 13, 2020.