Mahogany Dortch
Technician, Personal Care Attendant in Omaha, NE. Individual provider (NPI-1).
NPI number1942007372
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1942007372
- Entity type
- Individual (NPI-1)
- Name
- Mahogany Dortch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 164W00000X | Licensed Practical Nurse | 28335 | NE |
Practice location
4611 S 96th St Ste 134Omaha, NE 68127-1240
Phone 402-607-8344 · Fax 402-607-8367
Mailing address
4611 S 96th St Ste 134Omaha, NE 68127-1240
Phone 402-607-8344 · Fax 402-607-8367
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