NPI 1154036747
Divine Living, LLC
Practice location
- Address
- 6657 Sorensen Pkwy, Omaha, NE 68152-2139
- Phone
- (402) 315-3593
Authorised official
- Name
- Dashawn Jamar McGary
- Title
- Director of Finance
- Phone
- (402) 213-8417
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1154036747
- Entity type
- Organization
- NPI issued
- 18 Jan 2023
- Record last updated
- 18 Jan 2023
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.