Individual provider · Type 1 NPI

Nolan R. Miller-Johnston Ii

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

NPI number 1376333468 Active

Practice location

4321 N 56th St
Omaha, NE 68104-2726

Call (480) 415-2357 Map

Specialties and licenses

TaxonomyCodeLicense
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 1376333468

Nolan R. Miller-Johnston Ii's National Provider Identifier is 1376333468, issued on May 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, NE. The record was last updated on May 12, 2025.