person
Mrs. Kelly Marie Porter
Child Intellectual and/or Developmental Disabilities Respite Care in Massillon, Ohio
NPI 1639405806

Kelly Marie Porter is a Child Intellectual and/or Developmental Disabilities Respite Care based in Massillon, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Kelly Marie Porter practices in Massillon, OH. The NPI Number for Kelly Marie Porter is 1639405806 and holds a License No. (Ohio).

The current practice location address for Kelly Marie Porter is 525 Harding Ave Nw, Massillon, OH and can be reached out via phone at 330-704-1277.

Location: 525 Harding Ave Nw, Massillon, OH, 44646-3252
person
Provider Profile Details
NPI Number
1639405806
Provider Name
Kelly Marie Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
525 Harding Ave Nw, Massillon, OH, 44646-3252
Phone Number
330-704-1277
Fax Number
Provider Enumeration Date
10/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2973475 05 OH
institution
Provider Business Practice Location Address Details
Address
525 Harding Ave Nw
City
State
Zip
44646-3252
Phone Number
330-704-1277
Fax Number
person
Provider Business Mailing Address Details
Address
525 Harding Ave Nw
City
State
Zip
44646-3252
Phone Number
330-704-1277
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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