| NPI | 1417824756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY LYNN LONG Home Care Provider 402-619-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |