Individual
DAVION LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9850 EMILINE PLZ, PAPILLION, NE 68128-7091
(531) 375-1194
Mailing address
9850 EMILINE PLZ, PAPILLION, NE 68128-7091
(531) 375-1194
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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