Individual
CAROL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
440 REGENCY PARKWAY DR STE 222, OMAHA, NE 68114-3742
(402) 359-1996
Mailing address
6320 MAPLE ST, OMAHA, NE 68104-4006
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
06/02/2025
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