| Name | Value |
|---|---|
| PROVIDER TYPE | Respite Care Facility |
| CLASSIFICATION | Respite Care |
| 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. |
| AREA OF SPECIALIZATION | Respite Care, Physical Disabilities, Child |
| STATUS | Active |
| X12 CODE | 385HR2065X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255426 |
| EFFECTIVE DATE/TIME |
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