Individual
MAKAHLA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 N 28TH AVE, OMAHA, NE 68131-1504
(402) 510-6066
Mailing address
942 N 28TH AVE, OMAHA, NE 68131-1504
(402) 510-6066
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NE
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
NE
376J00000X
Homemaker
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81400768
—
NE
Enumeration date
08/29/2022
Last updated
08/29/2022
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