Individual provider · Type 1 NPI

Agbor Tambe

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

NPI number 1710704689 Active

Practice location

5370 Camelot Dr Apt B
Fairfield, OH 45014-7452

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Personal Care Attendant 3747P1801XNone listed
Homemaker 376J00000XNone listed
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 1710704689

Agbor Tambe's National Provider Identifier is 1710704689, issued on Sep 23, 2024. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Fairfield, OH. The record was last updated on Sep 23, 2024.