Organization
ENHANCED LIFE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASSOURE SOSTHENE COMPAORE (CEO)
(402) 830-8643
Entity
Organization
Contact information
Practice address
3706 S 132ND ST, OMAHA, NE 68144-3608
(028) 308-6434
Mailing address
3706 S 132ND ST, OMAHA, NE 68144-3608
(028) 308-6434
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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