Individual provider · Type 1 NPI
Johnna Fuqua
Child Intellectual and/or Developmental Disabilities Respite Care · Omaha, NE
Practice location
12416 Farnam St
Omaha, NE 68154-2333
Mailing address
300 N Dogwood St Apt A
Savannah, MO 64485-9440
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 1447062443
Johnna Fuqua's National Provider Identifier is 1447062443, issued on Jan 25, 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 Jan 25, 2025.