Divine Living, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE. Organization (NPI-2).
NPI number1154036747
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1154036747
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Living, LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2023
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
6657 Sorensen PkwyOmaha, NE 68152-2139
Phone 402-315-3593
Mailing address
6657 Sorensen PkwyOmaha, NE 68152-2139
Phone 402-315-3593
Authorized official
Dashawn Jamar McGary
Director Of Finance
4022138417
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