Individual
LATAIJA BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5348 N 64TH ST, OMAHA, NE 68104-1534
(402) 306-8731
(402) 517-6841
Mailing address
5348 N 64TH ST, OMAHA, NE 68104-1534
(402) 306-8731
(402) 517-6841
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
NE
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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