HENRIETTE AIDEGO
Individual Provider (NPI-1)
Active
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Information
- NPI Number
1053126441- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7403 BRAUN ST, LA VISTA, NE, 681282791
- Phone
- (402) 218-6231
Specialties & Taxonomies
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Primary