person
Rondal L Davis
Child Intellectual and/or Developmental Disabilities Respite Care in Pataskala, Ohio
NPI 1427652510

Rondal L Davis is a Child Intellectual and/or Developmental Disabilities Respite Care based in Pataskala, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Rondal L Davis practices in Pataskala, OH. The NPI Number for Rondal L Davis is 1427652510 and holds a License No. (Ohio).

The current practice location address for Rondal L Davis is 74 Brooksedge Dr E, Pataskala, OH and can be reached out via phone at 614-496-2726.

Location: 74 Brooksedge Dr E, Pataskala, OH, 43062-7339
person
Provider Profile Details
NPI Number
1427652510
Provider Name
Rondal L Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
74 Brooksedge Dr E, Pataskala, OH, 43062-7339
Phone Number
614-496-2726
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2192443 05 OH
institution
Provider Business Practice Location Address Details
Address
74 Brooksedge Dr E
City
State
Zip
43062-7339
Phone Number
614-496-2726
Fax Number
person
Provider Business Mailing Address Details
Address
74 Brooksedge Dr E
City
State
Zip
43062-7339
Phone Number
614-496-2726
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
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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