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Michelle Momic
Child Intellectual and/or Developmental Disabilities Respite Care in Independence, Ohio
NPI 1881201747

Michelle Momic is a Child Intellectual and/or Developmental Disabilities Respite Care based in Cleveland, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Michelle Momic practices in Independence, OH. The NPI Number for Michelle Momic is 1881201747 and holds a License No. (Ohio).

The current practice location address for Michelle Momic is 9560 Brookside Rd, Independence, OH and can be reached out via phone at 216-524-7379.

Location: 9560 Brookside Rd, Independence, OH, 44144-1848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881201747
Provider Name
Michelle Momic
Credential
Provider Entity Type
Individual
Gender
Female
Address
9560 Brookside Rd, Independence, OH, 44144-1848
Phone Number
216-524-7379
Fax Number
Provider Enumeration Date
09/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0198096 05 OH
institution
Provider Business Practice Location Address Details
Address
9560 Brookside Rd
City
Independence
State
Ohio
Zip
44131-6621
Phone Number
216-524-7379
Fax Number
person
Provider Business Mailing Address Details
Address
9560 Brookside Rd
City
Independence
State
Ohio
Zip
44131-6621
Phone Number
216-524-7379
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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