Individual provider · Type 1 NPI

Michael Blackstone Sr.

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

NPI number 1881481265 Active

Practice location

9012 Q St
Omaha, NE 68127-3549

Call (402) 315-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1881481265

Michael Blackstone Sr.'s National Provider Identifier is 1881481265, issued on Apr 21, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Omaha, NE. The record was last updated on Apr 21, 2025.