Individual provider · Type 1 NPI
Tony Demetrius Rouse
Child Intellectual and/or Developmental Disabilities Respite Care · Omaha, NE
NPI number
1386536456
Active
Practice location
2726 Mary St
Omaha, NE 68112-3218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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About NPI 1386536456
Tony Demetrius Rouse's National Provider Identifier is 1386536456, issued on Jul 15, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Omaha, NE. The record was last updated on Jul 15, 2025.