Individual
MS. MELISSA RAE BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9012 Q ST, OMAHA, NE 68127-3549
(402) 315-1000
Mailing address
9012 Q ST, OMAHA, NE 68127-3549
(402) 315-1000
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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