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Organization

VERSATILE SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVE KRONBERG (QUALITY ASSURANCE COORDINATOR)
(402) 562-6492
Entity
Organization

Contact information

Practice address
2316 9TH ST, COLUMBUS, NE 68601-5704
(402) 562-6492
(402) 562-8774
Mailing address
2316 9TH ST, COLUMBUS, NE 68601-5704
(402) 562-6492
(402) 562-8774

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
261QD1600X
Developmental Disabilities Clinic/Center
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
03/11/2025
Last updated
03/11/2025
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