| NPI | 1467260299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYA MECONOVINO DJISSENOU Director 402-208-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |