Individual
ELIZABETH ATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14314 S 25TH AVE, BELLEVUE, NE 68123-2798
(531) 625-9362
Mailing address
14314 S 25TH AVE, BELLEVUE, NE 68123-2798
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/06/2025
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