Michael Blackstone Sr.
Michael Blackstone Sr. is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
9012 Q StOmaha, NE 68127-3549
Phone: (402) 315-1000
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1881481265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2025 |
| Last updated in NPPES | April 21, 2025 |
| Certification date | April 21, 2025 |
| Mailing address | 9012 Q St, Omaha, NE 68127-3549 |
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