Organization
VITAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB AARON HILE BA (QIDO)
(402) 465-5664
Entity
Organization
Contact information
Practice address
6400 CORNHUSKER HWY, LINCOLN, NE 68507-3123
(402) 465-5664
(402) 465-4065
Mailing address
6400 CORNHUSKER HWY, LINCOLN, NE 68507-3123
(402) 465-5664
(402) 465-4065
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/07/2021
Last updated
12/09/2024
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