Individual
MRS. SHELLY DAVEY BURGHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10309 NEBRASKA AVE, OMAHA, NE 68134-7313
(402) 981-5023
Mailing address
10309 NEBRASKA AVE, OMAHA, NE 68134-7313
(402) 981-5023
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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