Grace Boulus
Home Health Aide in Omaha, NE. Individual provider (NPI-1).
NPI number1942005186
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1942005186
- Entity type
- Individual (NPI-1)
- Name
- Grace Boulus
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1015 N 34th StOmaha, NE 68131-1301
Phone 402-306-4077
Mailing address
1015 N 34th StOmaha, NE 68131-1301
Phone 402-306-4077
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