Individual
EH BLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5521 LAUREL AVE, OMAHA, NE 68104-1232
(402) 677-4972
Mailing address
5521 LAUREL AVE, OMAHA, NE 68104-1232
(402) 677-4972
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
About Stedi
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