Individual provider · Type 1 NPI
Jessica Niedfelt
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grand Island, NE
Practice location
1620 W John St
Grand Island, NE 68801-6323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1780499756
Jessica Niedfelt's National Provider Identifier is 1780499756, issued on Feb 7, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Grand Island, NE. The record was last updated on Feb 7, 2025.