Latisha Clark
Home Health Aide in Bellevue, NE. Individual provider (NPI-1).
NPI number1104797802
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1104797802
- Entity type
- Individual (NPI-1)
- Name
- Latisha Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2025
- Certification date
- Sep 15, 2025
- Last updated
- Sep 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
12901 S 29th PlBellevue, NE 68123-3218
Phone 402-312-8029
Mailing address
12901 S 29th PlBellevue, NE 68123-3218
Phone 402-312-8029
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All 66 Home Health Aide providers in Bellevue · All 2,620 providers in Bellevue
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