Organization
PERSONAL HME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH POORE (OWNER)
(269) 816-4873
Entity
Organization
Contact information
Practice address
5346 S 136TH ST, 390081, OMAHA, NE 68137-3001
(269) 491-7369
Mailing address
5346 S 136TH ST, 390081, OMAHA, NE 68137-3001
(269) 491-7369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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