Individual
JOHN G COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15306 JONES CIR, OMAHA, NE 68154-2855
(402) 401-8092
Mailing address
15306 JONES CIR, OMAHA, NE 68154-2855
(402) 401-8092
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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