Individual provider · Type 1 NPI

Chrystal Evvonne Shaw

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

NPI number 1992617047 Active

Practice location

9547 U Plz Apt 15
Omaha, NE 68127-3452

Call (832) 269-8680 Map

Specialties and licenses

TaxonomyCodeLicense
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 1992617047

Chrystal Evvonne Shaw's National Provider Identifier is 1992617047, issued on Sep 22, 2026. 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 Sep 22, 2026.