Organization
THE 402- OMAHA'S FINEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEYA BROADWAY (DIRECTOR OF OPERATIONS)
(402) 517-6841
Entity
Organization
Contact information
Practice address
5348 N 64TH ST, OMAHA, NE 68104-1534
(402) 517-6841
Mailing address
5348 N 64TH ST, OMAHA, NE 68104-1534
(402) 517-6841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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