Organization
PACE NEBRAKSA
Active
Parent organization
IMMANUEL HOME AND COMMUNITY RESOURCES
Other names
Immanuel Pathways
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMMANUEL HOME AND COMMUNITY RESOURCES
Authorized official
MS. JILL NYQUIST (VP OF HOME & COMMUNITY OPERATIONS)
(402) 829-3204
Entity
Organization
Contact information
Practice address
6757 NEWPORT AVE, SUITE 200, OMAHA, NE 68152-2262
(402) 829-2900
(402) 829-2939
Mailing address
1044 N 115TH ST, SUITE 500, OMAHA, NE 68154-4425
(402) 829-2900
(402) 829-2939
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/14/2015
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