Individual
ANIAH RUSSELLBROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 MARY ST, OMAHA, NE 68122-1634
(531) 772-5846
Mailing address
7525 MARY ST, OMAHA, NE 68122-1634
(531) 772-5846
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NE
372500000X
Chore Provider
—
NE
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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