Individual
MACDAMEON SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 PRATT ST, OMAHA, NE 68111
(402) 738-0128
Mailing address
3225 PRATT ST, OMAHA, NE 68111
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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