PROVIDER LLC

OMAHA, NE
NPI1407745243
Entity TypeOrganization
Authorized ContactDELANAM GBEGNON
Owner
502-618-9786
Organization Subpart ?No
Primary Taxonomy320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date2025-06-28
Last Update Date2025-06-28
Business Address
PROVIDER LLC
13516 DISCOVERY DR
OMAHA, NE 68137
Phone number: 502-618-9786
Mailing Address
PROVIDER LLC
13516 DISCOVERY DR
OMAHA, NE 68137
Phone number: 502-618-9786