Individual
HSAR SAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3949 REDICK AVE, OMAHA, NE 68112-2967
(402) 547-7654
Mailing address
3949 REDICK AVE, OMAHA, NE 68112-2967
(402) 547-7654
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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