Individual provider · Type 1 NPI

Benjila Willoughby

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

NPI number 1891540225 Active

Practice location

4924 Emmet St
Omaha, NE 68104-3656

Call (402) 739-2386 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
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 1891540225

Benjila Willoughby's National Provider Identifier is 1891540225, issued on Apr 19, 2024. 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 Apr 19, 2024.