Xavion Mountain
Home Health Aide in Omaha, NE. Individual provider (NPI-1).
NPI number1295548014
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1295548014
- Entity type
- Individual (NPI-1)
- Name
- Xavion Mountain
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2025
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
16909 Lakeside Hills Plz Ste 114Omaha, NE 68130-4652
Phone 402-932-2211
Mailing address
16909 Lakeside Hills Plz Ste 114Omaha, NE 68130-4652
Phone 402-932-2211
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