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Organization
SUCCOR HOMEHEALTH CARE LLC
Active
Organization
SUCCOR HOMEHEALTH CARE LLC
Active
Other names
Succor HomeHealth Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE TILSON (DIRECTOR OF OPERATIONS)
(402) 609-9544
Entity
Organization
Contact information
Practice address
7805 L ST STE 140, OMAHA, NE 68127-1870
(402) 331-5814
Mailing address
7805 L ST STE 140, OMAHA, NE 68127-1870
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/07/2024
Last updated
01/15/2025
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