Organization
HOME RESPIRATORY WITH HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P JESUS (RESPIRATORY THERAPIST)
(402) 614-4622
Entity
Organization
Contact information
Practice address
7602 PARK DR, SUITE B, RALSTON, NE 68127-3944
(402) 614-4622
(402) 614-4726
Mailing address
7602 PARK DR STE B, RALSTON, NE 68127-3944
(402) 614-4622
(402) 614-4726
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025827000
—
NE
Enumeration date
09/28/2009
Last updated
08/11/2010
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