Lashasta Nichole Johnson
Lashasta Nichole Johnson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Incomplete address
2873 Titus AveOmaha, NE 68112
Phone: (405) 924-3572
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1265247605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2025 |
| Last updated in NPPES | February 12, 2025 |
| Certification date | February 12, 2025 |
| Mailing address | 2873 Titus Ave, Omaha, NE 68112-3231 |
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