Individual
AUDREY MUGISHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2223 DODGE ST APT 3182223, OMAHA, NE 68102-1912
(402) 609-6320
Mailing address
2223 DODGE ST APT 3182223, OMAHA, NE 68102-1912
(402) 609-6320
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/17/2025
Last updated
05/02/2025
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