Individual provider · Type 1 NPI
Tristen James Estefano Williams, CNA
Child Physical Disabilities Respite Care · Omaha, NE
NPI number
1629880646
Active
Practice location
5562 S 122nd St
Omaha, NE 68137-3423
Mailing address
14834 Walnut Grove Cir
Omaha, NE 68137-1462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chore Provider | 372500000X | None listed |
| Child Physical Disabilities Respite Care Primary | 385HR2065X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
2 other providers at this address
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About NPI 1629880646
Tristen James Estefano Williams, CNA's National Provider Identifier is 1629880646, issued on Jan 25, 2025. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Omaha, NE. The record was last updated on Jan 25, 2025.