Organization
PRIME HOME DEVELOPMENTAL DISABILITIES SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA K BOJANSKI (CHEIF FINANCIAL OFFICER)
(402) 932-0072
Entity
Organization
Contact information
Practice address
6818 GROVER ST, SUITE 200, OMAHA, NE 68106-3640
(402) 932-0072
(402) 614-8245
Mailing address
6818 GROVER ST, OMAHA, NE 68106-3640
(402) 932-0072
(402) 614-8245
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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