Organization
A PLACE MEANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA MARIE FREZELL (CEO)
(402) 401-1046
Entity
Organization
Contact information
Practice address
7589 MAIN ST, RALSTON, NE 68127-3915
(402) 401-1046
Mailing address
PO BOX 593, OMAHA, NE 68101-0593
(402) 401-1046
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/26/2025
Last updated
04/21/2026
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