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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