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NPI Code Detail

MEDICARE: VICTRENE HOLLOWAY HOLLOWAY

MEDICARE: VICTRENE HOLLOWAY HOLLOWAY
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
13747P1801XPersonal Care AttendantNE

General Provider Information

NPI Number : 1528884939
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTRENE HOLLOWAY HOLLOWAY
Provider Business Mailing Address
First Line : 4304 N 33RD ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-2748
Country : US
Telephone Number : 531-299-0240
Fax Number : 531-299-2090
Provider Business Practice Location Address
First Line : 4304 N 33RD ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-2748
Country : US
Telephone Number : 531-299-0240
Fax Number : 531-299-2090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 12/02/2024

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Directions to “ VICTRENE HOLLOWAY HOLLOWAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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