Individual
ELSA COVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6526 S 172ND AVE, OMAHA, NE 68135-3249
(402) 541-5883
Mailing address
6526 S 172ND AVE, OMAHA, NE 68135-3249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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