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Polly L Green
Child Intellectual and/or Developmental Disabilities Respite Care in Marysville, Ohio
NPI 1811584717

Polly L Green is a Child Intellectual and/or Developmental Disabilities Respite Care based in Marysville, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Polly L Green practices in Marysville, OH. The NPI Number for Polly L Green is 1811584717 and holds a License No. (Ohio).

The current practice location address for Polly L Green is 11780 Watkins Rd, Marysville, OH and can be reached out via phone at 937-645-5894.

Location: 11780 Watkins Rd, Marysville, OH, 43040-8708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811584717
Provider Name
Polly L Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
11780 Watkins Rd, Marysville, OH, 43040-8708
Phone Number
937-645-5894
Fax Number
Provider Enumeration Date
12/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11780 Watkins Rd
City
Marysville
State
Ohio
Zip
43040-8708
Phone Number
937-645-5894
Fax Number
person
Provider Business Mailing Address Details
Address
11780 Watkins Rd
City
Marysville
State
Ohio
Zip
43040-8708
Phone Number
937-645-5894
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.
()
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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