BENJILA WILLOUGHBY

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual

NPI: 1891540225

Practice Address

4924 EMMET ST
Omaha, NE 68104

Specialties

Specialty	Code	Primary	License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	No	-
Day Training/Habilitation Specialist	373H00000X	No	-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Yes	-

Frequently Asked Questions

NPI 1891540225 is the National Provider Identifier for BENJILA WILLOUGHBY, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Omaha, NE. This NPI was enumerated on April 19, 2024.

BENJILA WILLOUGHBY practices at 4924 EMMET ST, Omaha, NE 68104.

Quick Facts

NPI: 1891540225
Type: Individual
Enumerated: Apr 19, 2024
Last Updated: Apr 19, 2024

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