Organization
SHADES OF BEAUTY CARE SERVICES LLC
Active
Other names
Shades of Beauty Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
RONTASHA JOHNSON LPN (OWNER)
(402) 415-9639
Entity
Organization
Contact information
Practice address
7714 N 82ND AVE, OMAHA, NE 68122-1541
(402) 415-9639
Mailing address
7714 N 82ND AVE, OMAHA, NE 68122-1541
(402) 415-9639
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
372500000X
Chore Provider
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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