Organization
ODA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ABDULAIZZ LAB TECHNOLOGIST (MANGER)
(701) 500-6189
Entity
Organization
Contact information
Practice address
225 S 25TH ST, OMAHA, NE 68131-3601
(701) 500-6189
Mailing address
6829 N 72ND ST, OMAHA, NE 68122-1723
(701) 500-6189
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64472890
—
NE
Enumeration date
12/29/2021
Last updated
01/22/2025
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