Individual
IDA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5017 LEAVENWORTH ST STE 2, OMAHA, NE 68106-1438
(402) 505-7301
Mailing address
11130 JONES ST, OMAHA, NE 68154-3347
(310) 994-7464
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
02/26/2026
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