Individual
ABE YAT KUETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1813 N 73RD ST # NE68114, OMAHA, NE 68114-1905
(402) 557-8583
(402) 557-8583
Mailing address
4702 FLORENCE BLVD, OMAHA, NE 68110-1400
(402) 213-9452
(402) 213-9452
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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