Individual
LATISHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 N 37TH ST, OMAHA, NE 68111-2639
(402) 578-0505
Mailing address
3525 N 37TH ST, OMAHA, NE 68111-2639
(402) 578-0505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NE
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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