Individual
DONALD SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5161 N 179TH AVE, OMAHA, NE 68116-3292
(402) 677-4071
Mailing address
5161 N 179TH AVE, OMAHA, NE 68116-3292
(402) 677-4071
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NE
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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