Individual
AUGUST JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 GALVIN RD N, BELLEVUE, NE 68005-4673
(402) 731-1315
Mailing address
7718 N 82ND AVE, OMAHA, NE 68122-1541
(712) 309-5756
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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