NPI 1386941185

Angelo D Melgoza, PLADC

Practitioner Substance Abuse Rehabilitation Facility Omaha, NE

Practice location

Address: 3483 Larimore Ave, Omaha, NE 68111-2383
Phone: (402) 455-8303
Fax: (402) 455-7050

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence P-575 (NE)

Other Substance Abuse Rehabilitation Facility providers in Nebraska →

Registry record

NPI: 1386941185
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2011
Record last updated: 15 Feb 2011

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.