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Tracey Leh Davis, SHAREDLIVING
Child Intellectual and/or Developmental Disabilities Respite Care in Wellston, Ohio
NPI 1053916338

Tracey Leh Davis is a Child Intellectual and/or Developmental Disabilities Respite Care based in Wellston, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Tracey Leh Davis practices in Wellston, OH and has the professional credentials of SHAREDLIVING. The NPI Number for Tracey Leh Davis is 1053916338 and holds a License No. (Ohio).

The current practice location address for Tracey Leh Davis is 207 Melvin Downard Rd, Wellston, OH and can be reached out via phone at 740-988-8400.

Location: 207 Melvin Downard Rd, Wellston, OH, 45692-9232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053916338
Provider Name
Tracey Leh Davis
Credential
SHAREDLIVING
Provider Entity Type
Individual
Gender
Female
Address
207 Melvin Downard Rd, Wellston, OH, 45692-9232
Phone Number
740-988-8400
Fax Number
Provider Enumeration Date
12/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105257068499 05 OH
institution
Provider Business Practice Location Address Details
Address
207 Melvin Downard Rd
City
Wellston
State
Ohio
Zip
45692-9232
Phone Number
740-988-8400
Fax Number
person
Provider Business Mailing Address Details
Address
207 Melvin Downard Rd
City
Wellston
State
Ohio
Zip
45692-9232
Phone Number
740-988-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
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Definition
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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