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Organization

SERENOVA HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDOZIE NWAGBARA (MBR)
(402) 279-6009
Entity
Organization

Contact information

Practice address
4129 MIAMI ST, OMAHA, NE 68111-3432
(402) 279-6009
(402) 279-6009
Mailing address
4129 MIAMI ST, OMAHA, NE 68111-3432
(402) 279-6009
(402) 279-6009

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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