MEDICARE: MRS. JOELLE ELODIE SE ADJINATA I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility		NE

General Provider Information

NPI Number	:	1780333591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOELLE ELODIE SE ADJINATA I

Provider Business Mailing Address
First Line	:	3509 HARRISON ST
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-1252
Country	:	US
Telephone Number	:	402-612-9032
Fax Number	:

Provider Business Practice Location Address
First Line	:	3509 HARRISON ST
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-1252
Country	:	US
Telephone Number	:	402-612-9032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2022
Last Update Date	:	03/20/2022

Similar Medicare Providers

1386750495 — DR. GEORGE WARREN OTTO DDS
Practice Location Address:

3509 HARRISON ST
BELLEVUE, NE
68147-1252

Practice Phone: 402-733-4770
Practice Fax:

1033868849 — SOLI HOPE LLC
Practice Location Address:

3509 HARRISON ST
BELLEVUE, NE
68147-1252

Practice Phone: 531-541-2840
Practice Fax:

1386452613 — JENNI COBBS
Practice Location Address:

7800 S 25TH ST
BELLEVUE, NE
68147-2125

Practice Phone: 531-299-1220
Practice Fax:

1407255607 — VICTORIA STEWART LIMHP, LADC, NCC
Practice Location Address:

9601 S 28TH ST
BELLEVUE, NE
68147-2498

Practice Phone: 402-598-7719
Practice Fax:

1871589721 — STATEWIDE MEDICAL EQUIPMENT, INC
Practice Location Address:

7511 SOUTH 36 STREET , SUITES 6 & 7
BELLEVUE, NE
68147-1244

Practice Phone: 402-697-1985
Practice Fax: 402-738-1985

1720029994 — DR. MICHELLE L ARMSTRONG D.C.
Practice Location Address:

4105 HARRISON ST
BELLEVUE, NE
68147-1059

Practice Phone: 402-991-3388
Practice Fax: 402-991-3636

Directions to “ MRS. JOELLE ELODIE SE ADJINATA I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.