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Organization
P-31 SERVICES, LLC
Active
Organization
P-31 SERVICES, LLC
Active
Other names
Benison's, Benison's DDS, Benison's Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICE B JACKSON (PRESIDENT)
(402) 718-6700
Entity
Organization
Contact information
Practice address
4601 S 50TH ST STE 302, OMAHA, NE 68117-1355
(402) 718-6700
Mailing address
7935 N 154TH AVE, BENNINGTON, NE 68007-1819
(402) 718-6700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85769936
—
NE
Enumeration date
03/29/2021
Last updated
09/06/2024
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