Individual provider · Type 1 NPI
Kameelah Fletcher
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lincoln, UM
Practice location
4826 Madison Ave #5
Lincoln, UM 68504
Mailing address
PO Box 4394
Lincoln, NE 68504-0394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 43564329 (NE) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1003368705
Kameelah Fletcher's National Provider Identifier is 1003368705, issued on Oct 28, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lincoln, UM. The record was last updated on Oct 28, 2016.