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MICHAEL BLACKSTONE

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1881481265Individual

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Contact & Hours

Address
9012 Q ST
OMAHA, NE 68127

Quick Facts

NPI
1881481265
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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