Individual
CORY CHILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 CAMDEN AVE, OMAHA, NE 68111-1759
(402) 215-4961
Mailing address
2555 CAMDEN AVE, OMAHA, NE 68111-1759
(402) 215-4961
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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