Individual
CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 N 60TH ST, OMAHA, NE 68104-1651
(531) 389-8719
Mailing address
2573 HARTMAN AVE, OMAHA, NE 68111-1335
(770) 896-6068
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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