Organization
MAJESTIC PASCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEE ROBERTA NASH (OWNER)
(402) 359-7731
Entity
Organization
Contact information
Practice address
13021 PATRICK CIR, OMAHA, NE 68164-3937
(402) 359-7731
Mailing address
13021 PATRICK CIR, OMAHA, NE 68164-3937
(402) 359-7731
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
45340940
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45340940
MEDICAID PAS WORK
NE
Enumeration date
03/22/2017
Last updated
03/22/2017
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