Individual
TIMEAKI LASHANTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 N 113TH AVENUE CIR, OMAHA, NE 68142-1140
(531) 222-7435
Mailing address
7714 N 113TH AVENUE CIR, OMAHA, NE 68142-1140
(531) 222-7435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NE
253Z00000X
In Home Supportive Care Agency
Primary
—
NE
311ZA0620X
Adult Care Home Facility
—
NE
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NE
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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