Doctor Name: | MR. ADAM WESLEY FLUGGA |
NPI Number: | 1225395346 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 631 Northview Dr Fostoria, OH - 448302731 |
Business Phone Number: | 4193065715 |
Business Fax Number: | |
Mailing Address: | 631 Northview Dr, FOSTORIA |
State: | OH |
Postal Code: | 448302731 |
Phone Number: | 4193065715 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2012 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385HR2065X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | Respite Care, Physical Disabilities, Child |
Taxonomy Definition: | A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |