| NPI | 1417711896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONTASHA JOHNSON Owner 402-415-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 372500000X Chore Provider | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |