Individual
STACY GRANTSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 S 46TH AVE, OMAHA, NE 68106-2042
(402) 612-0485
Mailing address
3341 S 68TH CT APT 3341, OMAHA, NE 68106-3636
(402) 590-9623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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