Individual
AMANDA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 DORCAS ST, OMAHA, NE 68108-1160
(402) 926-4444
(402) 393-8230
Mailing address
825 DORCAS ST, OMAHA, NE 68108-1160
(402) 926-4444
(402) 393-8230
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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