NPI 1639976186

Edgar Moya

Practitioner Child Mental Illness Respite Care Kearney, NE

Practice location

Address: 1609 P Ave, Kearney, NE 68847-4003
Phone: (308) 746-3652
Mailing address: 1319 E 45th St APT K5, Kearney, NE 68847-4161

Registered specialties (3)

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 73608402 (NE)

Other Respite Care providers in Nebraska →

Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X Licence 73608402 (NE)

Child Physical Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2065X Licence 73608402 (NE)

Registry record

NPI: 1639976186
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2025
Record last updated: 3 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.