Willoughby, Benjila

Willoughby, Benjila is an sole proprietor health care provider with primary practice located at 4924 Emmet St , Omaha NE 68104-3656. She recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Day Training/Habilitation Specialist, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Willoughby, Benjila can be contacted via phone (402) 739-2386.

Contact Information

Primary practice address
4924 Emmet St Omaha NE 68104-3656
Phone: (402) 739-2386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1891540225
LBN Legal business name Willoughby, Benjila
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2024
Last updated Apr 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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