Individual provider · Type 1 NPI

Kim M. Bolton

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

NPI number 1649877168 Active

Practice location

3666 W 159th St
Cleveland, OH 44111-5706

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.

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About NPI 1649877168

Kim M. Bolton's National Provider Identifier is 1649877168, issued on Oct 7, 2020. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Cleveland, OH. The record was last updated on Oct 7, 2020.