Individual
CHERELLE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 S 122ND AVE, OMAHA, NE 68144-6005
(402) 671-4772
Mailing address
7200 S 84TH ST, LA VISTA, NE 68128-2115
(531) 800-6009
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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