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Individual

DALENE DENEES NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8077 GOLD ST, OMAHA, NE 68124-3120
(402) 812-2665
Mailing address
8077 GOLD ST, OMAHA, NE 68124-3120
(402) 812-2665

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
311ZA0620X
Adult Care Home Facility
372600000X
Adult Companion

Other

Enumeration date
12/31/2024
Last updated
12/31/2024
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