Individual
MRS. JOELLE ELODIE SE ADJINATA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 HARRISON ST, BELLEVUE, NE 68147-1252
(402) 612-9032
Mailing address
3509 HARRISON ST, BELLEVUE, NE 68147-1252
(402) 612-9032
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NE
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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