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NPI Code Detail

MEDICARE: MAHALA GULLEY

MEDICARE: MAHALA GULLEY
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 : 1972452969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHALA GULLEY
Provider Business Mailing Address
First Line : 420 S WASHINGTON ST
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 420 S WASHINGTON ST
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2667
Country : US
Telephone Number : 531-232-0112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ MAHALA GULLEY ” Practice Location

Language Start Address Practice Location
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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