Healthcare Provider Details

I. General information

NPI: 1568394666
Provider Name (Legal Business Name): LADY ANN AGUILAR JAMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 LAWNWOOD DR
PAPILLION NE
68133-2922
US

IV. Provider business mailing address

5020 LAWNWOOD DR
PAPILLION NE
68133-2922
US

V. Phone/Fax

Practice location:
  • Phone: 402-669-5404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: