Individual
DAE'VYON GORDON-TAPLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 S SADDLE CREEK RD, OMAHA, NE 68106-1906
(531) 359-5006
Mailing address
1011 S SADDLE CREEK RD, OMAHA, NE 68106-1906
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
05/06/2025
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