Individual provider · Type 1 NPI
Henriette Aidego
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · La Vista, NE
Practice location
7403 Braun St
La Vista, NE 68128-2791
Mailing address
1805 N 73rd St
Omaha, NE 68114-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in La Vista
About NPI 1053126441
Henriette Aidego's National Provider Identifier is 1053126441, issued on Feb 11, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in La Vista, NE. The record was last updated on Feb 11, 2025.