Individual
HSAW REH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5220 MARY ST, OMAHA, NE 68152-2431
(531) 232-2144
Mailing address
4911 N 64TH ST, OMAHA, NE 68104-1908
(531) 495-7636
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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