Individual
LARISSA LYNN GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 MEREDITH AVE, OMAHA, NE 68134-3341
(402) 637-6505
Mailing address
7611 MEREDITH AVE, OMAHA, NE 68134-3341
(402) 637-6505
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
H14054674
NE
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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