Organization
SHANTI HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIETTO LEON VASCO (PRESIDENT)
(720) 556-9566
Entity
Organization
Contact information
Practice address
482 SANTEE BLVD, TECUMSEH, NE 68450-2518
(720) 556-9566
Mailing address
482 SANTEE BLVD, TECUMSEH, NE 68450-2518
(720) 556-9566
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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