Individual
TANIKA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10118 PLYMOUTH PT APT 118-E, BELLEVUE, NE 68123-6119
(402) 507-0505
Mailing address
10118 PLYMOUTH PT APT 118-E, BELLEVUE, NE 68123-6119
(402) 507-0505
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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