Whalio Doctors

NPI 1154036747

Divine Living, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Omaha, NE

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
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

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.