Organization
HEAVENS DOMAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONIC ATAGAH (CEO)
(302) 384-5822
Entity
Organization
Contact information
Practice address
3314 DECATUR ST, OMAHA, NE 68111-4142
(301) 549-6872
Mailing address
3314 DECATUR ST, OMAHA, NE 68111-4142
(301) 549-6872
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
08/12/2025
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