Individual
KA MOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 S 67TH ST STE 319, OMAHA, NE 68106-2882
(402) 356-6706
Mailing address
2111 S 67TH ST STE 319, OMAHA, NE 68106-2882
(402) 669-7213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
07/01/2025
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