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Nicole Brooke James
Child Physical Disabilities Respite Care in Portsmouth, Ohio
NPI 1407115850

Nicole Brooke James is a Child Physical Disabilities Respite Care based in Portsmouth, OH and is specialized in Respite Care, Physical Disabilities, Child. Nicole Brooke James practices in Portsmouth, OH. The NPI Number for Nicole Brooke James is 1407115850 and holds a License No. PN.148781-M-IV (Ohio).

The current practice location address for Nicole Brooke James is 4050 State Route 139, Portsmouth, OH and can be reached out via phone at 740-352-4421.

Location: 4050 State Route 139, Portsmouth, OH, 45662-8629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407115850
Provider Name
Nicole Brooke James
Credential
Provider Entity Type
Organization
Address
4050 State Route 139, Portsmouth, OH, 45662-8629
Phone Number
740-352-4421
Fax Number
Provider Enumeration Date
05/04/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4050 State Route 139
City
Portsmouth
State
Ohio
Zip
45662-8629
Phone Number
740-352-4421
Fax Number
person
Provider Business Mailing Address Details
Address
4050 State Route 139
City
Portsmouth
State
Ohio
Zip
45662-8629
Phone Number
740-352-4421
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
PN.148781-M-IV (Ohio)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
PN.148781-M-IV (Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
PN.148781-M-IV (Ohio)
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.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
PN.148781-M-IV (Ohio)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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