Organization
DELMAR GARDENS OF OMAHA, LLC
Active
Other names
St. Joseph Villa Homecare & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MARX (CFO)
(636) 733-7000
Entity
Organization
Contact information
Practice address
825 DORCAS ST, OMAHA, NE 68108
(402) 926-4444
(402) 393-8230
Mailing address
825 DORCAS ST, OMAHA, NE 68108
(402) 926-4444
(402) 393-8230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
261027
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252553-00
—
NE
Enumeration date
09/16/2005
Last updated
12/23/2021
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