Individual
LARECE BLACKSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6240 N 51ST AVENUE CIR, OMAHA, NE 68104-1329
(402) 812-7249
Mailing address
4805 N 72ND ST, OMAHA, NE 68134-2304
(402) 571-5400
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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