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NPI Code Detail

MEDICARE: DIRESHA GARNER

MEDICARE: DIRESHA GARNER
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1407710684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIRESHA GARNER
Provider Business Mailing Address
First Line : 2118 N 24TH ST STE 108
Second Line :
City : OMAHA
State : NE
Zip : 68110-2312
Country : US
Telephone Number : 402-707-1053
Fax Number : 402-707-1053
Provider Business Practice Location Address
First Line : 2118 N 24TH ST STE 108
Second Line :
City : OMAHA
State : NE
Zip : 68110-2312
Country : US
Telephone Number : 402-707-1053
Fax Number : 402-707-1053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ DIRESHA GARNER ” Practice Location

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