Phyllis Heath White
Phyllis Heath White is a Developmentally Disabled Services Day Training Agency in Broken Bow, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
717 S 7th AveBroken Bow, NE 68822-2521
Phone: (308) 872-2742
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
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Record details
| NPI number | 1114735321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 19, 2024 |
| Last updated in NPPES | December 19, 2024 |
| Certification date | December 19, 2024 |
| Mailing address | 80259 Lillian Rd, Broken Bow, NE 68822-5507 |