Organization
MY LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LARABEE (CEO)
(402) 393-0753
Entity
Organization
Contact information
Practice address
11716 W DODGE RD, OMAHA, NE 68154-2425
(402) 393-0753
(402) 403-5289
Mailing address
PO BOX 787, BOYS TOWN, NE 68010-0787
(402) 393-0753
(402) 403-5289
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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