Individual
ILEANA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 N PLATTE AVE, FREMONT, NE 68025-6371
(305) 300-0157
Mailing address
304 N PLATTE AVE, FREMONT, NE 68025-6371
(305) 300-0157
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NE
372600000X
Adult Companion
Primary
—
NE
3747A0650X
Attendant Care Provider
—
NE
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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