Individual provider · Type 1 NPI
Kathleen P. Shaw
Intellectual Disabilities Intermediate Care Facility · Roseland, NE
NPI number
1407515398
Active
Practice location
15665 W Cimarron Rd
Roseland, NE 68973-1814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chore Provider | 372500000X | None listed |
| Driver | 172A00000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1407515398
Kathleen P. Shaw's National Provider Identifier is 1407515398, issued on Dec 8, 2021. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Roseland, NE. The record was last updated on Feb 3, 2025.