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Nithixay Somsanith
Child Intellectual and/or Developmental Disabilities Respite Care in Benton Harbor, Michigan
NPI 1649933698

Nithixay Somsanith is a Child Intellectual and/or Developmental Disabilities Respite Care based in Benton Harbor, MI and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Nithixay Somsanith practices in Benton Harbor, MI. The NPI Number for Nithixay Somsanith is 1649933698 and holds a License No. (Michigan).

The current practice location address for Nithixay Somsanith is 1440 E Empire Ave, Benton Harbor, MI and can be reached out via phone at 269-487-9820.

Location: 1440 E Empire Ave, Benton Harbor, MI, 49022-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649933698
Provider Name
Nithixay Somsanith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1440 E Empire Ave, Benton Harbor, MI, 49022-2020
Phone Number
269-487-9820
Fax Number
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
385HR2060X 01 MI COMMUNITY MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
1440 E Empire Ave
City
Benton Harbor
State
Michigan
Zip
49022-2020
Phone Number
269-487-9820
Fax Number
person
Provider Business Mailing Address Details
Address
1440 E Empire Ave
City
Benton Harbor
State
Michigan
Zip
49022-2020
Phone Number
269-487-9820
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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