John Wallace
John Wallace is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ralston, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
6732 S 73rd Street CirRalston, NE 68127-4387
Phone: (531) 772-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1053126706 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 10, 2025 |
| Last updated in NPPES | February 11, 2025 |
| Certification date | February 11, 2025 |
| Mailing address | 6732 S 73rd Street Cir, Ralston, NE 68127-4387 |
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