Individual
EDOH DOGBEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 GOLDEN GATE DR, PAPILLION, NE 68046-2837
(402) 403-2807
Mailing address
11915 WAKELEY PLZ, OMAHA, NE 68154-2430
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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