Organization
JACE TRUSTING HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GBENADE K. EDOH (DIRECTOR)
(402) 706-8625
Entity
Organization
Contact information
Practice address
4611 S 96TH ST STE 235, OMAHA, NE 68127-1243
(402) 706-8625
Mailing address
7737 GREENLEAF DR, LA VISTA, NE 68128-2767
(402) 706-8625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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