MALIYA KERAE'A GRESHAM

OMAHA, NE
NPI1477356434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: NE  H14144715)
Enumeration Date2025-03-27
Last Update Date2025-03-27
Business Address
MALIYA KERAE'A GRESHAM
3939 LAUREL AVE
OMAHA, NE 68111-1153
Phone number: 402-215-9616
Mailing Address
MALIYA KERAE'A GRESHAM
3939 LAUREL AVE
OMAHA, NE 68111-1153
Phone number: 402-215-9616