Organization Name: | RHONDA BODAGER |
NPI Number: | 1811337330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA KAY BODAGER (STATE TESTED NURSING ASSISTANT) |
Mailing Address: | 9536 Matty Rd West Salem |
State: | OH US |
Postal Code: | 442879722 |
Phone Number: | 4196513321 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2013 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3140N1450X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Skilled Nursing Facility |
Taxonomy Specialization: | Nursing Care, Pediatric |
Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |