Individual provider · Type 1 NPI

Latrell Rashod Peterson Sr.

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

NPI number 1962380337 Active

Practice location

6615 Highland Greens Dr Apt 215G
West Chester, OH 45069-7664

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XVC597561 (OH)
Personal Care Attendant 3747P1801XVC597561 (OH)
Homemaker 376J00000XVC597561 (OH)
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060XVC597561 (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.

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About NPI 1962380337

Latrell Rashod Peterson Sr.'s National Provider Identifier is 1962380337, issued on Aug 25, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in West Chester, OH. The record was last updated on Aug 25, 2025.