IndividualActive
Myiesha Hardy
NPI 1790596799 · Child Intellectual and/or Developmental Disabilities Respite Care · South Holland, IL
Provider details
- NPI number
- 1790596799
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
15432 Park Ln
South Holland, IL 60473-1365
Registry dates
- Enumerated
- 2025-01-17
- Last updated
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.