Individual provider · Type 1 NPI
Andre Lee Jackson
Substance Abuse Rehabilitation Facility · Omaha, NE
NPI number
1316865744
Active
Practice location
2115 N 27th St
Omaha, NE 68111-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Transportation Network Company | 342000000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Respite Care | 385H00000X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Omaha
About NPI 1316865744
Andre Lee Jackson's National Provider Identifier is 1316865744, issued on Jul 6, 2026. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Omaha, NE. The record was last updated on Jul 6, 2026.