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NPI Code Detail

MEDICARE: SWEET LOUIZ LEMONADE

MEDICARE: SWEET LOUIZ LEMONADE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1598636458
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWEET LOUIZ LEMONADE
Provider Business Mailing Address
First Line : 3412 SHEFFIELD ST
Second Line :
City : OMAHA
State : NE
Zip : 68112-2329
Country : US
Telephone Number : 402-320-9048
Fax Number :
Provider Business Practice Location Address
First Line : 3412 SHEFFIELD ST
Second Line :
City : OMAHA
State : NE
Zip : 68112-2329
Country : US
Telephone Number : 402-320-9048
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TERRIE DIANE SNOWDEN
Credential :
Telephone Number : 402-320-9048
Provider Enumeration Date : 09/15/2025
Last Update Date : 09/22/2025

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Directions to “SWEET LOUIZ LEMONADE ” Practice Location

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