Individual
SHANNON PAGE RITTENBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 JOSEPHINE ST, BELLEVUE, NE 68147-1431
(531) 721-6932
Mailing address
1412 NEPTUNE DR, CARTER LAKE, IA 51510-1443
(531) 721-6932
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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