Organization
REANNA POTTER
Active
Other names
Good 2B Home
Organization subpart
No
Provider details
NPI number
Authorized official
REANNA DEE POTTER (OWNER/CNA)
(402) 739-8061
Entity
Organization
Contact information
Practice address
14301 FNB PKWY, SUITE 100, OMAHA, NE 68154-7200
(402) 739-8061
Mailing address
5331 N 36TH AVE, OMAHA, NE 68111-1563
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
73227
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78770980
MEDICAID WAIVER
—
Enumeration date
05/18/2015
Last updated
05/18/2015
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