Organization
SUCCOR HOMEHEALTH CARE LLC
Active
Other names
Succor HomeHealth Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE TILSON (DIRECTOR OF OPERATIONS)
(402) 609-9544
Entity
Organization
Contact information
Practice address
7805 L ST STE 140, OMAHA, NE 68127-1870
(402) 331-5814
Mailing address
7805 L ST STE 140, OMAHA, NE 68127-1870
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/07/2024
Last updated
01/15/2025
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