Individual
DWAIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6758 N 163RD CT APT 3004, OMAHA, NE 68116-5369
(402) 660-8966
Mailing address
6758 N 163RD CT APT 3004, OMAHA, NE 68116-5369
(402) 660-8966
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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