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Timothy Klusaw

Home Health Aide in Omaha, NE. Individual provider (NPI-1).

NPI number1235937293
StatusActive
Last updated in NPPESMar 17, 2025

Details

NPI
1235937293
Entity type
Individual (NPI-1)
Name
Timothy Klusaw
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 5, 2025
Certification date
Mar 17, 2025
Last updated
Mar 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

6818 Grover St Ste 101
Omaha, NE 68106-3632

Phone 402-390-2492

Mailing address

6818 Grover St Ste 101
Omaha, NE 68106-3632

Phone 402-390-2492

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