Organization
PERSON CENTERED DEVELOPMENTAL DISABILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CRYSTAL NICOLE EVERETT RN (CEO/DIRECTOR)
(402) 509-4480
Entity
Organization
Contact information
Practice address
4942 S 114TH ST, OMAHA, NE 68137-2324
(402) 509-4480
(402) 982-4099
Mailing address
4942 S 114TH ST, OMAHA, NE 68137-2324
(402) 509-4480
(402) 982-4099
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2026
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