Individual
MRS. IDA ALICIA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 VANDENBERG AVE, BELLEVUE, NE 68123-1656
(402) 617-6679
Mailing address
3325 VANDENBERG AVE, BELLEVUE, NE 68123-1656
(402) 617-6679
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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