Individual
PHENIX R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6905 N 65TH ST, OMAHA, NE 68152-2103
(402) 707-6246
Mailing address
6905 N 65TH ST, OMAHA, NE 68152-2103
(402) 707-6246
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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