Latrell Rashod Peterson Sr.
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in West Chester, OH. Individual provider (NPI-1).
NPI number1962380337
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1962380337
- Entity type
- Individual (NPI-1)
- Name
- Mr. Latrell Rashod Peterson Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2025
- Certification date
- Aug 25, 2025
- Last updated
- Aug 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | VC597561 | OH | Yes |
| 172A00000X | Driver | VC597561 | OH | |
| 3747P1801X | Technician, Personal Care Attendant | VC597561 | OH | |
| 376J00000X | Homemaker | VC597561 | OH |
Practice location
6615 Highland Greens Dr Apt 215gWest Chester, OH 45069-7664
Phone 734-304-3084
Mailing address
6615 Highland Greens Dr Apt 215gWest Chester, OH 45069-7664
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