Organization
PHAMILYORIENTED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE HOLLINS JOHNSON (MANAGER)
(402) 415-9431
Entity
Organization
Contact information
Practice address
2407 1/2 S 13TH ST, OMAHA, NE 68108-1562
(402) 415-9431
Mailing address
PO BOX 11644, OMAHA, NE 68111-0644
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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