Individual
ADAM KAMALEDDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2718 N 129TH CIR # 68164, OMAHA, NE 68164-3460
(531) 772-5565
Mailing address
1813 N 73RD ST # NE68114, OMAHA, NE 68114-1905
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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