Organization
MARCY'S VANTAGE CARE, LLC
Active
Organization
MARCY'S VANTAGE CARE, LLC
Active
Other names
Marcy's Vantage Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY ROSE JOHNSON (OWNER)
(712) 251-7523
Entity
Organization
Contact information
Practice address
104 S EAST ST, PONCA, NE 68770-7264
(712) 251-7523
(402) 755-2387
Mailing address
PO BOX 645, PONCA, NE 68770-0645
(712) 251-7523
(402) 755-2387
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/29/2022
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