Provider Demographics
NPI:1750170395
Name:MIRE, ARBAI
Entity type:Individual
Prefix:
First Name:ARBAI
Middle Name:
Last Name:MIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 ORCHARD AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-2594
Mailing Address - Country:US
Mailing Address - Phone:531-250-9308
Mailing Address - Fax:
Practice Address - Street 1:3650 ORCHARD AVE APT 201
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2594
Practice Address - Country:US
Practice Address - Phone:531-250-9308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities