Individual
ISHA ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 CHICAGO ST, OMAHA, NE 68132-2903
(414) 403-4677
Mailing address
4910 CHICAGO ST, OMAHA, NE 68132-2903
(414) 403-4677
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
05/08/2025
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