Healthcare Provider Details

I. General information

NPI: 1437082070
Provider Name (Legal Business Name): SANDRA BALL GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 CEDAR ST # 148
HUDSON CO
80642-9990
US

IV. Provider business mailing address

1299 FARNAM ST STE 300
OMAHA NE
68102-1857
US

V. Phone/Fax

Practice location:
  • Phone: 720-390-8595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: