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Organization

A PLACE AT HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DUSTIN DISTEFANO (CEO)
(402) 281-0737
Entity
Organization

Contact information

Practice address
4237 SALISBURY RD STE 305, JACKSONVILLE, FL 32216-0908
(904) 539-4688
Mailing address
11422 MIRACLE HILLS DR STE 450, OMAHA, NE 68154-4443
(888) 502-6310

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HHA201205
NE
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/19/2015
Last updated
12/09/2025
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