Organization
UTA HALEE GIRLS VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONJA SUE MCKAY (BILLING COORDINATOR)
(402) 457-1398
Entity
Organization
Contact information
Practice address
10625 CALHOUN RD, OMAHA, NE 68112-2034
(402) 457-1398
(402) 457-1405
Mailing address
10625 CALHOUN RD, PO BOX 12034, OMAHA, NE 68112-2034
(402) 457-1398
(402) 457-1405
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
110200
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025222000
—
NE
Enumeration date
11/06/2006
Last updated
08/22/2020
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