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1821345471
ANGELIA D HENDERSON
OMAHA, NE
NPI
1821345471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NE 324)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- ANGELIA D HENDERSON
2525 S. 135TH AVE
OMAHA, NE 68144
Phone number: 402-333-2304
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Mailing Address
-- ANGELIA D HENDERSON
5708 N 167TH AVE CIRCLE
OMAHA, NE 68116
Phone number: 402-681-9469
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