Individual provider · Type 1 NPI

Maliya Kerae'a Gresham

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

NPI number 1477356434 Active

Practice location

3939 Laurel Ave
Omaha, NE 68111-1153

Call (402) 215-9616 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XH14144715 (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.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Omaha

See all in Omaha →

About NPI 1477356434

Maliya Kerae'a Gresham's National Provider Identifier is 1477356434, issued on Mar 27, 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 Mar 27, 2025.