Organization
SPIRIT HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE TEAGUE (PRESIDENT)
(515) 221-9155
Entity
Organization
Contact information
Practice address
10506 BURT CIR, OMAHA, NE 68114-2094
(402) 504-4658
(402) 505-6152
Mailing address
13375 UNIVERSITY AVE, SUITE 200, CLIVE, IA 50325-8261
(515) 221-9155
(515) 221-9157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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