Individual provider · Type 1 NPI

Laporcha King, RN

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE

NPI number 1104679422 Active

Practice location

319 S 17th St Ste 708
Omaha, NE 68102-1960

Call (402) 708-5888 Map

Mailing address

7303 N 91st St
Omaha, NE 68122-1221

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1104679422

Laporcha King, RN's National Provider Identifier is 1104679422, issued on Apr 8, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Omaha, NE. The record was last updated on May 29, 2024.