- Agency Name
- GENESIS DEVELOPMENTAL DISABILITY CENTER LLC
- Service Type
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Address
- 4611 S 96TH ST STE 115, OMAHA, NE 68127
- Phone Number
- (402) 378-6972
- NPI Number
- 1639908213
- Authorized Official
- ABDULLAHI FARAH (CEO)
- Enumeration Date
- 2024-07-31