NPI 1952163099

Life Community Outreach Center

Organisation PACE Provider Organization Omaha, NE

Practice location

Address: 3536 N 40th Ave, Omaha, NE 68111-2648
Phone: (531) 224-6446

Authorised official

Name: Tylena Tucker
Title: Founder
Phone: (531) 224-6446

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Nebraska →

Registry record

NPI: 1952163099
Entity type: Organization
NPI issued: 24 Jan 2024
Record last updated: 24 Jan 2024

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.