Organization
CHARTER HOSPICE OF OMAHA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL (CORPORATE COUNSEL)
(909) 644-4965
Entity
Organization
Contact information
Practice address
4905 S 107TH AVE, SUITE 205, OMAHA, NE 68127-1965
(402) 926-4088
(402) 926-4197
Mailing address
4905 S 107TH AVE, SUITE 205, OMAHA, NE 68127-1965
(402) 926-4088
(402) 926-4197
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOSPICE 50
NE
Other
Enumeration date
07/23/2012
Last updated
08/30/2021
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