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Kathy Shoemaker
Child Intellectual and/or Developmental Disabilities Respite Care in Centerburg, Ohio
NPI 1518179480

Kathy Shoemaker is a Child Intellectual and/or Developmental Disabilities Respite Care based in Centerburg, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Kathy Shoemaker practices in Centerburg, OH. The NPI Number for Kathy Shoemaker is 1518179480 and holds a License No. (Ohio).

The current practice location address for Kathy Shoemaker is 10585 Briar Rd, Centerburg, OH and can be reached out via phone at 740-272-3592.

Location: 10585 Briar Rd, Centerburg, OH, 43011-8463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518179480
Provider Name
Kathy Shoemaker
Credential
Provider Entity Type
Individual
Gender
Female
Address
10585 Briar Rd, Centerburg, OH, 43011-8463
Phone Number
740-272-3592
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2100596 01 OH PERSONAL CARE AIDE MRDD
0124976 05 OH
institution
Provider Business Practice Location Address Details
Address
10585 Briar Rd
City
Centerburg
State
Ohio
Zip
43011-8463
Phone Number
740-272-3592
Fax Number
person
Provider Business Mailing Address Details
Address
10585 Briar Rd
City
Centerburg
State
Ohio
Zip
43011-8463
Phone Number
740-272-3592
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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