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Contact Information

ANGELIA D HENDERSON
2525 S. 135TH AVE
OMAHA, NE68144
 Phone: 402-333-2304
 Fax: 402-333-1269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for

NPI Number 1821345471
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/13/2012
Last updated 08/13/2012 - About 14 years ago
Identifiers
NE License # 324
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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