Individual
VICTORIA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E HIGHWAY 20, ONEILL, NE 68763-2104
(402) 336-4405
Mailing address
525 E BENTON ST, ONEILL, NE 68763-1558
(402) 336-6202
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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