OMAHA PRRTP (3863) INSTITUTION (4)

Name	Value
NAME	OMAHA PRRTP
STATE	NEBRASKA
STREET ADDR. 1	4101 WOOLWORTH AVE
CITY	OMAHA
ZIP	68105-1850
OFFICIAL VA NAME	OMAHA PRRTP
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 23 PARENT FACILITY PARENT OF ASSOCIATION: VA NWIHS, OMAHA DIVISION
BILLING FACILITY NAME	OMAHA VA CARE SITE
ST. ADDR. 1 (MAILING)	4101 WOOLWORTH AVE
CITY (MAILING)	OMAHA
STATE (MAILING)	NEBRASKA
ZIP (MAILING)	68105-1850
EFFECTIVE DATE/TIME	2015-09-01 00:00:00 STATUS: ACTIVE NPI: 1922468230
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	CENTRAL
COUNTRY	USA
STATION NUMBER	636PC