Organization
GENESIS DEVELOPMENTAL DISABILITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI O FARAH (CEO)
(402) 378-6972
Entity
Organization
Contact information
Practice address
4611 S 96TH ST STE 115, OMAHA, NE 68127-1227
(402) 378-6972
Mailing address
4611 S 96TH ST STE 115, OMAHA, NE 68127-1227
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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