Individual
VIJAHNAY DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 N 112TH CT APT 5408, OMAHA, NE 68154-5832
(402) 871-2302
Mailing address
1515 N 112TH CT APT 5408, OMAHA, NE 68154-5832
(402) 871-2302
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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