Organization
DUET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY ANN HENSON (DSP)
(402) 936-0492
Entity
Organization
Contact information
Practice address
16134 TAYLOR ST, OMAHA, NE 68116-2986
(402) 936-0492
Mailing address
16134 TAYLOR ST, OMAHA, NE 68116-2986
(402) 936-0492
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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