| NPI | 1619785268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERAMIE LEE BEAHM Director 402-580-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |