Benjila Willoughby
Benjila Willoughby is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
4924 Emmet StOmaha, NE 68104-3656
Phone: (402) 739-2386
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
| Day Training/Habilitation Specialist | Taxonomy 373H00000X |
Record details
| NPI number | 1891540225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2024 |
| Last updated in NPPES | April 19, 2024 |
| Certification date | April 19, 2024 |
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