Organization
DIVINE CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHANA GRACE (OWNER)
(402) 813-4937
Entity
Organization
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 813-4937
Mailing address
7152 MINNE LUSA BLVD, OMAHA, NE 68112-3161
(402) 813-4937
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/26/2024
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