Individual
HUSSEIN LUGUNDI HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 S 133RD ST, OMAHA, NE 68137-1133
(531) 772-2779
Mailing address
4610 S 133RD ST, OMAHA, NE 68137-1133
(531) 772-2779
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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