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NPI Code Detail

MEDICARE: LEA CAROLYN HILL

MEDICARE: LEA CAROLYN HILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1306643481
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA CAROLYN HILL
Provider Business Mailing Address
First Line : 4625 N 80TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-3219
Country : US
Telephone Number : 720-231-5560
Fax Number :
Provider Business Practice Location Address
First Line : 4715 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68137-1899
Country : US
Telephone Number : 402-444-6937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2025
Last Update Date : 02/26/2025

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Directions to “ LEA CAROLYN HILL ” Practice Location

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