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Organization

L3 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE RYAN (OWNER)
(402) 510-4814
Entity
Organization

Contact information

Practice address
12618 O ST, OMAHA, NE 68137-1907
(402) 510-4814
Mailing address
PO BOX 540452, OMAHA, NE 68154-0452
(402) 510-4814

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251B00000X
Case Management Agency
Primary

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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