Provider Demographics
NPI:1851253868
Name:ALLCARE DEVELOPMENTAL DISABILITY SERVICES LLC
Entity type:Organization
Organization Name:ALLCARE DEVELOPMENTAL DISABILITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARTUN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-987-6283
Mailing Address - Street 1:1706 MISSOURI VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-2864
Mailing Address - Country:US
Mailing Address - Phone:402-987-6283
Mailing Address - Fax:402-987-6283
Practice Address - Street 1:1706 MISSOURI VIEW LN
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-2864
Practice Address - Country:US
Practice Address - Phone:402-987-6283
Practice Address - Fax:402-987-6283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-27
Last Update Date:2025-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health