Individual
MR. SHADRACK AMPONSEM AMPOFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 BOBOLI LN, LINCOLN, NE 68516-3407
(402) 369-1993
Mailing address
5701 BOBOLI LN, LINCOLN, NE 68516-3407
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
H14407742
NE
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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