Individual
DEJA PHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7565 S 146TH ST, OMAHA, NE 68138-6594
(402) 697-5121
Mailing address
7565 S 146TH ST, OMAHA, NE 68138-6594
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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