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NPI Code Detail

MEDICARE: DIAA E SAF SAF

MEDICARE:   DIAA E SAF SAF
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1467302968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAA E SAF SAF
Provider Business Mailing Address
First Line : 9018 FORT ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-1749
Country : US
Telephone Number : 402-378-8337
Fax Number :
Provider Business Practice Location Address
First Line : 10477 LAWNDALE PLZ
Second Line :
City : OMAHA
State : NE
Zip : 68134-3779
Country : US
Telephone Number : 402-378-8337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ DIAA E SAF SAF ” Practice Location

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