Healthcare Provider Details

I. General information

NPI: 1114846979
Provider Name (Legal Business Name): RESHIAL L MARKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8203 N 30TH ST
OMAHA NE
68112-2201
US

IV. Provider business mailing address

619 OLSON DR
PAPILLION NE
68046-4770
US

V. Phone/Fax

Practice location:
  • Phone: 402-812-1681
  • Fax:
Mailing address:
  • Phone: 402-597-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: