Mrs. JOELLE ELODIE SE ADJINATA I
Individual Provider (NPI-1)
Active
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Information
- NPI Number
1780333591- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3509 HARRISON ST, BELLEVUE, NE, 681471252
- Phone
- (402) 612-9032
Specialties & Taxonomies
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Primary License: NE