Individual provider · Type 1 NPI

Dustin Tiller

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

NPI number 1407645088 Active

Practice location

3227 Chad St
Bellevue, NE 68123-2651

Call (614) 560-9226 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1407645088

Dustin Tiller's National Provider Identifier is 1407645088, issued on May 1, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bellevue, NE. The record was last updated on May 1, 2025.