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Mrs. Susie M Ryan, LPNM-IV
Child Intellectual and/or Developmental Disabilities Respite Care in Newark, Ohio
NPI 1568761666

Susie M Ryan is a Child Intellectual and/or Developmental Disabilities Respite Care based in Newark, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Susie M Ryan practices in Newark, OH and has the professional credentials of LPNM-IV. The NPI Number for Susie M Ryan is 1568761666 and holds a License No. PN066345 (Ohio).

The current practice location address for Susie M Ryan is 1283 Licking Valley Rd, Newark, OH and can be reached out via phone at 740-763-0066.

Location: 1283 Licking Valley Rd, Newark, OH, 43055-8911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568761666
Provider Name
Susie M Ryan
Credential
LPNM-IV
Provider Entity Type
Individual
Gender
Female
Address
1283 Licking Valley Rd, Newark, OH, 43055-8911
Phone Number
740-763-0066
Fax Number
Provider Enumeration Date
03/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1283 Licking Valley Rd
City
Newark
State
Ohio
Zip
43055-8911
Phone Number
740-763-0066
Fax Number
person
Provider Business Mailing Address Details
Address
1283 Licking Valley Rd
City
Newark
State
Ohio
Zip
43055-8911
Phone Number
740-763-0066
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.
PN066345 (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.
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