Individual provider · Type 1 NPI

Clarence Oliver Whitner Iii

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

NPI number 1720893035 Active

Practice location

1805 N 73rd St
Omaha, NE 68114-1905

Mailing address

6614 Hartman Ave
Omaha, NE 68104-1025

Specialties and licenses

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 1720893035

Clarence Oliver Whitner Iii's National Provider Identifier is 1720893035, issued on Feb 12, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Omaha, NE. The record was last updated on Feb 12, 2025.