Individual provider · Type 1 NPI
Lashasta Nichole Johnson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NI
Practice location
2873 Titus Ave
Omaha, NI 68112
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.
About NPI 1265247605
Lashasta Nichole Johnson's National Provider Identifier is 1265247605, issued on Feb 12, 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, NI. The record was last updated on Feb 12, 2025.