Organization
INCREDIBLE CARE IN-HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI L RUSSELL (CEO)
(402) 968-1806
Entity
Organization
Contact information
Practice address
8811 RUGGLES CIR, OMAHA, NE 68134-4115
(402) 968-1806
Mailing address
4320 CANNOCK DR, MCKINNEY, TX 75070-8568
(402) 968-1806
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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