MEDICARE: MRS. EVELYNE DIGNY ACLINOU I

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
1	253Z00000X	In Home Supportive Care Agency		NE

General Provider Information

NPI Number	:	1740083716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EVELYNE DIGNY ACLINOU I

Provider Business Mailing Address
First Line	:	3254 S 72ND AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3576
Country	:	US
Telephone Number	:	402-319-3655
Fax Number	:	531-201-4505

Provider Business Practice Location Address
First Line	:	3254 S 72ND AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3576
Country	:	US
Telephone Number	:	402-319-3655
Fax Number	:	531-201-4505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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