NPI 1083204507
Omeha House I LLC
Practice location
- Address
- 500 North St, Hannibal, MO 63401-3333
- Phone
- (573) 221-9103
- Fax
- (573) 406-1091
- Mailing address
- PO Box 387, Hannibal, MO 63401-0387
Authorised official
- Name
- Omar Delbert Ghattas
- Title
- Owner
- Phone
- (573) 795-3614
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1083204507
- Entity type
- Organization
- NPI issued
- 19 Jan 2021
- Record last updated
- 19 Jan 2021
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.