| Name | Value |
|---|---|
| PROVIDER TYPE | Respite Care Facility |
| CLASSIFICATION | Respite Care |
| DEFINITION | A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
| AREA OF SPECIALIZATION | Respite Care, Intellectual and/or Developmental Disabilities |
| STATUS | Active |
| X12 CODE | 385HR2060X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255423 |
| EFFECTIVE DATE/TIME |
|