Doctor Name: | BETTY CHRISTENE BARE |
NPI Number: | 1366832693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 181769 |
Business Practice Address: | 115 Private Road 977 Pedro, OH - 456598608 |
Business Phone Number: | 7405341386 |
Business Fax Number: | 7403130438 |
Mailing Address: | Po Box 6, PEDRO |
State: | OH |
Postal Code: | 456590006 |
Phone Number: | 7405341386 |
Fax Number: | 7403130438 |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | RN 181769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |