Individual
ANTHONY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11716 W DODGE RD, OMAHA, NE 68154-2425
(402) 393-0753
Mailing address
PO BOX 787, BOYS TOWN, NE 68010-0787
(402) 393-0753
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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