Individual
AMANDA SUE HABERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56168 SHOLES ST, RANDOLPH, NE 68771-6002
(402) 640-0923
Mailing address
56168 SHOLES ST, RANDOLPH, NE 68771-6002
(402) 640-0923
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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