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Tina Sims
Child Intellectual and/or Developmental Disabilities Respite Care in Somerville, Ohio
NPI 1649872656

Tina Sims is a Child Intellectual and/or Developmental Disabilities Respite Care based in Somerville, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Tina Sims practices in Somerville, OH. The NPI Number for Tina Sims is 1649872656 and holds a License No. (Ohio).

The current practice location address for Tina Sims is 9203 Gratis Jacksonburg Rd, Somerville, OH and can be reached out via phone at 937-336-8416.

Location: 9203 Gratis Jacksonburg Rd, Somerville, OH, 45064-9335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649872656
Provider Name
Tina Sims
Credential
Provider Entity Type
Individual
Gender
Female
Address
9203 Gratis Jacksonburg Rd, Somerville, OH, 45064-9335
Phone Number
937-336-8416
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2715959 05 OH
institution
Provider Business Practice Location Address Details
Address
9203 Gratis Jacksonburg Rd
City
Somerville
State
Ohio
Zip
45064-9335
Phone Number
937-336-8416
Fax Number
person
Provider Business Mailing Address Details
Address
9203 Gratis Jacksonburg Rd
City
Somerville
State
Ohio
Zip
45064-9335
Phone Number
937-336-8416
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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