NPI 1114259108

Midland Modesty Home Healthcare

Organisation Home Health Agency Papillion, NE

Practice location

Address: 2416 Lakewood Dr, Papillion, NE 68046-8082
Phone: (402) 932-3643
Fax: (402) 932-3642

Authorised official

Name: Fitzgerald O Tambe
Title: Administrator
Phone: (402) 932-3643

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence HHA200901 (NE)

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Registry record

NPI: 1114259108
Entity type: Organization
NPI issued: 2 Feb 2010
Record last updated: 12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.