Individual
TIRIT A TUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 381-1690
Mailing address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 381-1690
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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