Respite

NPI #1336320175 in Champaign, Illinois

Provider Information

NPI Number: 1336320175
Entity Type: Organization
Organization Name: Respite
Primary Specialty: Respite Care
Enumeration Date: Nov 20, 2007
Last Updated: Nov 20, 2007

Practice Location

Address: 502 N MARKET ST
City: Champaign
State: Illinois
ZIP Code: 61820-3634
Phone: (217) 373-2428

Authorized Official

Name: OHALETE CHIOMA
Title: RESPITE CLINICIAN
Phone: (217) 373-2428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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