Organization
GOSHEN DDC
Active
Other names
Goshen
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTICE USENI (DIRECT SUPORT PROFESSIONAL)
(402) 510-5973
Entity
Organization
Contact information
Practice address
3306 N 190TH PLZ, ELKHORN, NE 68022-3554
(140) 225-2449
Mailing address
3708 N 106TH PLZ, OMAHA, NE 68134-3404
(402) 510-5973
(404) 025-1059
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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