Organization · Type 2 NPI
My Second Home
Child Intellectual and/or Developmental Disabilities Respite Care · Wheat Ridge, CO
NPI number
1912352071
Active
Practice location
6175 W 38th Ave
Wheat Ridge, CO 80033-5146
Fax (303) 237-1043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care Camp | 385HR2050X | 1655048 (CO) |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | 1655048 (CO) |
| Child Physical Disabilities Respite Care | 385HR2065X | 1655048 (CO) |
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.
2 other providers at this address
About NPI 1912352071
My Second Home's National Provider Identifier is 1912352071, issued on Apr 26, 2016. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Wheat Ridge, CO. The record was last updated on Apr 26, 2016.