Organization
REMEDY ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA SHANE' REYNOLDS DPA (DIRECTOR)
(402) 598-0517
Entity
Organization
Contact information
Practice address
5103 S 111TH ST, OMAHA, NE 68137-2341
(402) 598-0517
Mailing address
5103 S 111TH ST, OMAHA, NE 68137-2341
(402) 598-0517
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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