Individual provider · Type 1 NPI

Linda Jackson

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

NPI number 1265220628 Active

Practice location

1813 N 73rd St
Omaha, NE 68114-1905

Call (402) 557-8583 Map

Other practice locations

  • 1805 N 73rd St, Omaha, NE 68114-1905 · (402) 557-6583

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XG01059040 (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.

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About NPI 1265220628

Linda Jackson's National Provider Identifier is 1265220628, issued on Apr 28, 2025. 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 Apr 28, 2025.