Individual
MARQUES KAMAU MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 S 19TH ST APT 404, OMAHA, NE 68102-1721
(404) 401-0887
Mailing address
206 S 19TH ST APT 404, OMAHA, NE 68102-1721
(404) 401-0887
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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