Individual
CORY MICHAEL CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
646 W 16TH ST, FREMONT, NE 68025-3345
(402) 889-5522
Mailing address
646 W 16TH ST, FREMONT, NE 68025-3345
(402) 889-5522
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
NA
NE
372500000X
Chore Provider
NA
NE
373H00000X
Day Training/Habilitation Specialist
NA
NE
374U00000X
Home Health Aide
NA
NE
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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