Organization
CC HOLISTIC LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENEL GORDON (CEO)
(402) 850-6300
Entity
Organization
Contact information
Practice address
3604 VALLEY ST, OMAHA, NE 68105-3932
(402) 850-6300
Mailing address
3604 VALLEY ST, OMAHA, NE 68105-3932
(402) 850-6300
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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