Organization
KINGDOM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALONZO WYNNE (OWNER)
(402) 718-0538
Entity
Organization
Contact information
Practice address
12451 S 79TH AVE, PAPILLION, NE 68046-4694
(402) 718-0538
Mailing address
12451 S 79TH AVE, PAPILLION, NE 68046-4694
(402) 718-0538
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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