Individual
JERECIA DEVEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2342 N 67TH AVE, OMAHA, NE 68104-3932
(346) 716-2528
Mailing address
2342 N 67TH AVE, OMAHA, NE 68104-3932
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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