Provider Demographics
NPI:1609680651
Name:FUOCO, DANIEL ARTHUR
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ARTHUR
Last Name:FUOCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3048
Mailing Address - Country:US
Mailing Address - Phone:402-440-8839
Mailing Address - Fax:
Practice Address - Street 1:7110 S 42ND ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3048
Practice Address - Country:US
Practice Address - Phone:402-440-8839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No385H00000XRespite Care FacilityRespite Care