Organization
ASSISTED GROWTH SERVICES OF NEBRASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WATSON CHIPAKO (DIRECTOR)
(402) 990-9874
Entity
Organization
Contact information
Practice address
10909 COTTONWOOD LN, OMAHA, NE 68164-3715
(402) 990-9874
Mailing address
10909 COTTONWOOD LN, OMAHA, NE 68164-3715
(402) 990-9874
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NE
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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