Individual
R C- ANGEL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4750 LAFAYETTE AVE APT 20, OMAHA, NE 68132-1770
(531) 232-7906
Mailing address
4750 LAFAYETTE AVE APT 20, OMAHA, NE 68132-1770
(531) 232-7906
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/24/2025
Last updated
10/23/2025
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