Individual
MEH REH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10375 NEBRASKA AVE, OMAHA, NE 68134-7314
(402) 312-1983
Mailing address
10375 NEBRASKA AVE, OMAHA, NE 68134-7314
(402) 312-1983
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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