Individual
JACK CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5512 N 81ST ST, OMAHA, NE 68134-2034
(402) 714-0705
Mailing address
5512 N 81ST ST, OMAHA, NE 68134-2034
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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