Individual
DANIELLE L MCLEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12610 AMES PLZ APT 202, OMAHA, NE 68164-6909
(402) 679-1104
Mailing address
12610 AMES PLZ APT 202, OMAHA, NE 68164-6909
(402) 679-1104
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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