Organization
HEAVENLY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB N ZANNOU REGISTERED NURSE (OWNER)
(402) 290-9623
Entity
Organization
Contact information
Practice address
2507 S 90TH ST, OMAHA, NE 68124-2065
(402) 614-9574
(402) 218-1644
Mailing address
2507 S 90TH ST, OMAHA, NE 68124-2065
(402) 614-9574
(402) 218-1644
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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