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Matthew Polk
Child Intellectual and/or Developmental Disabilities Respite Care in Wooster, Ohio
NPI 1386321008

Matthew Polk is a Child Intellectual and/or Developmental Disabilities Respite Care based in Wooster, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Matthew Polk practices in Wooster, OH. The NPI Number for Matthew Polk is 1386321008 and holds a License No. (Ohio).

The current practice location address for Matthew Polk is 1431 Cedar Ln, Wooster, OH and can be reached out via phone at 330-988-0156.

Location: 1431 Cedar Ln, Wooster, OH, 44691-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386321008
Provider Name
Matthew Polk
Credential
Provider Entity Type
Individual
Gender
Male
Address
1431 Cedar Ln, Wooster, OH, 44691-2529
Phone Number
330-988-0156
Fax Number
Provider Enumeration Date
07/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1431 Cedar Ln
City
Wooster
State
Ohio
Zip
44691-2529
Phone Number
330-988-0156
Fax Number
person
Provider Business Mailing Address Details
Address
1431 Cedar Ln
City
Wooster
State
Ohio
Zip
44691-2529
Phone Number
330-988-0156
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.
()
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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