Individual
MICHELLE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 HARTMAN AVE, OMAHA, NE 68111-1465
(404) 026-1229
Mailing address
3905 HARTMAN AVE, OMAHA, NE 68111-1465
(402) 612-2955
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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