Enlightening Growth DDS LLC

NPI #1891476602 in Papillion, Nebraska

Provider Information

NPI Number: 1891476602
Entity Type: Organization
Organization Name: Enlightening Growth DDS LLC
Primary Specialty: Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date: Jul 26, 2023
Last Updated: Jul 26, 2023

Practice Location

Address: 4609 SHERIDAN RD
City: Papillion
State: Nebraska
ZIP Code: 68133-4839
Phone: (402) 208-1937

Authorized Official

Name: AURIOL MURIEL MIDAS PEDRO, MA
Title: SLP
Phone: (402) 208-1937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X	Primary

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