Individual provider · Type 1 NPI

Miftahul Mahadi

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

NPI number 1295525947 Active

Practice location

1831 N 73rd St
Omaha, NE 68114

Fax (402) 557-8583

Specialties and licenses

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 1295525947

Miftahul Mahadi's National Provider Identifier is 1295525947, issued on May 7, 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 May 13, 2025.