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General NPI Number Information
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NPI Number | 1982551990
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Entity Type | Organization
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Legal Business Name | L3 LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 12618 O ST
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City | OMAHA
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State | NE
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Zip | 68137-1907
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Country | US
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Telephone | 402-510-4814
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 540452
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City | OMAHA
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State | NE
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Zip | 68154-0452
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Country | US
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Telephone | 402-510-4814
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE RYAN
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Credential |
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Telephone | 402-510-4814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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