Organization
MIDLAND MODESTY HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FITZGERALD O TAMBE LPN (ADMINISTRATOR)
(402) 932-3643
Entity
Organization
Contact information
Practice address
2416 LAKEWOOD DR, PAPILLION, NE 68046-8082
(402) 932-3643
(402) 932-3642
Mailing address
2416 LAKEWOOD DR, PAPILLION, NE 68046-8082
(402) 932-3643
(402) 932-3642
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA200901
NE
Other
Enumeration date
02/02/2010
Last updated
04/12/2012
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