Individual
DUSTI SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E 1ST ST, HICKMAN, NE 68372-7081
(402) 890-7458
Mailing address
PO BOX 347, HICKMAN, NE 68372-0347
(402) 890-7458
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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