Individual
ROLENE LATOSHA FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3318 CHARLES ST, OMAHA, NE 68131-1319
(531) 710-2580
Mailing address
3318 CHARLES ST, OMAHA, NE 68131-1319
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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