My Second Home

NPI #1912352071 in Wheat Ridge, Colorado

Provider Information

NPI Number
1912352071
Entity Type
Organization
Organization Name
My Second Home
Primary Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
Apr 26, 2016
Last Updated
Apr 26, 2016

Practice Location

Address
6175 W 38TH AVE
ZIP Code
80033-5146
Phone
(303) 881-4988

Authorized Official

Name
MRS. KRISTIN N SMOCK
Title
DIRECTOR OF OPERATIONS
Phone
(720) 427-1979

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care CampRespite Care Camp
Respite Care - Respite Care, Physical Disabilities, ChildRespite Care, Physical Disabilities, Child
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child

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