Nicole Brooke James
Nicole Brooke James is an Intellectual Disabilities Intermediate Care Facility in Portsmouth, Ohio. Licensed in Ohio. Registered with an NPI since 2012.
- Licensed in
- OH
- In the registry since
- 2012
- Specialties on file
- 4
Practice location Address checks out
4050 State Route 139Portsmouth, OH 45662-8629
Phone: (740) 352-4421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence PN.148781-M-IV (OH) |
|---|---|
| Child Mental Illness Respite Care | Taxonomy 385HR2055X · Licence PN.148781-M-IV (OH) |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X · Licence PN.148781-M-IV (OH) |
| Child Physical Disabilities Respite Care | Taxonomy 385HR2065X · Licence PN.148781-M-IV (OH) |
Record details
| NPI number | 1407115850 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole James — Lpn-Iv · (740) 352-4421 |
| NPI enumerated | May 4, 2012 |
| Last updated in NPPES | May 4, 2012 |
| Mailing address | 4050 State Route 139, Portsmouth, OH 45662-8629 |