Organization · Type 2 NPI
Itc Personal In-Home Care LLC
Child Intellectual and/or Developmental Disabilities Respite Care · Mesa, AZ
NPI number
1699023846
Active
Practice location
1345 E Main St Ste 110
Mesa, AZ 85203-8950
Fax (480) 969-5512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | 479687 (AZ) |
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 1699023846
Itc Personal In-Home Care LLC's National Provider Identifier is 1699023846, issued on Aug 20, 2012. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Mesa, AZ. The record was last updated on Aug 20, 2012.