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Organization

INDICARE HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISHEEA BULTEZ (OWNER/ADMINISTRATOR)
(402) 968-1600
Entity
Organization

Contact information

Practice address
1406 FORT CROOK RD S STE 410, BELLEVUE, NE 68005-2980
(402) 968-1600
Mailing address
1406 FORT CROOK RD S STE 410, BELLEVUE, NE 68005-2980
(402) 968-1600

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/21/2020
Last updated
10/29/2020
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