Individual
IDA CAUSEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 1/2 PIERCE ST, OMAHA, NE 68108-3461
(424) 477-6326
Mailing address
2117 1/2 PIERCE ST, OMAHA, NE 68108-3461
(424) 477-6326
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
H12550651
NE
372600000X
Adult Companion
H12550651
NE
3747P1801X
Personal Care Attendant
Primary
H12550651
NE
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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