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Penny Jane Stout
Child Intellectual and/or Developmental Disabilities Respite Care in Bellefontaine, Ohio
NPI 1841322328

Penny Jane Stout is a Child Intellectual and/or Developmental Disabilities Respite Care based in Bellefontaine, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Penny Jane Stout practices in Bellefontaine, OH. The NPI Number for Penny Jane Stout is 1841322328 and holds a License No. 2240926 (Ohio).

The current practice location address for Penny Jane Stout is 4100 State Route 47 E, Bellefontaine, OH and can be reached out via phone at 937-592-4909.

Location: 4100 State Route 47 E, Bellefontaine, OH, 43311-0281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841322328
Provider Name
Penny Jane Stout
Credential
Provider Entity Type
Individual
Gender
Female
Address
4100 State Route 47 E, Bellefontaine, OH, 43311-0281
Phone Number
937-592-4909
Fax Number
Provider Enumeration Date
03/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 State Route 47 E
City
Bellefontaine
State
Ohio
Zip
43311-9546
Phone Number
937-592-4909
Fax Number
person
Provider Business Mailing Address Details
Address
4100 State Route 47 E
City
Bellefontaine
State
Ohio
Zip
43311-9546
Phone Number
937-592-4909
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.
2240926 (Ohio)
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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