Individual
ADELINE MAISSOULAYE TAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14210 ARBOR ST STE A, OMAHA, NE 68144-2382
(531) 999-1133
Mailing address
12902 S 30TH ST, BELLEVUE, NE 68123-2145
(402) 812-9016
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NE
311ZA0620X
Adult Care Home Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
03/04/2026
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