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Denicka Foster
Child Mental Illness Respite Care in South Bend, Indiana
NPI 1689172462

Denicka Foster is a Child Mental Illness Respite Care based in South Bend, IN and is specialized in Respite Care, Mental Illness, Child. Denicka Foster practices in South Bend, IN. The NPI Number for Denicka Foster is 1689172462 and holds a License No. (Indiana).

The current practice location address for Denicka Foster is 53211 Kinglet Ln, South Bend, IN and can be reached out via phone at 574-514-9665.

Location: 53211 Kinglet Ln, South Bend, IN, 46634-4022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689172462
Provider Name
Denicka Foster
Credential
Provider Entity Type
Individual
Gender
Female
Address
53211 Kinglet Ln, South Bend, IN, 46634-4022
Phone Number
574-514-9665
Fax Number
Provider Enumeration Date
01/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
53211 Kinglet Ln
City
South Bend
State
Indiana
Zip
46637-5112
Phone Number
574-514-9665
Fax Number
person
Provider Business Mailing Address Details
Address
53211 Kinglet Ln
City
South Bend
State
Indiana
Zip
46637-5112
Phone Number
574-514-9665
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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