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NPI Code Detail

MEDICARE: AMANACARE, LLC

MEDICARE: AMANACARE, LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1922652924
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMANACARE, LLC
Provider Business Mailing Address
First Line : 5001 NW 1ST ST STE 7
Second Line :
City : LINCOLN
State : NE
Zip : 68521-4498
Country : US
Telephone Number : 402-480-8892
Fax Number :
Provider Business Practice Location Address
First Line : 5001 NW 1ST ST STE 7
Second Line :
City : LINCOLN
State : NE
Zip : 68521-4498
Country : US
Telephone Number : 402-480-8892
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KATHLEEN HORSLEY
Credential :
Telephone Number : 402-480-8892
Provider Enumeration Date : 07/29/2019
Last Update Date : 09/15/2022

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Directions to “AMANACARE, LLC ” Practice Location

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