Marilyn Kay Eason

Individual provider Active NPI Home Health Agency · Pender, NE

NPI 1619781747 · NPPES record last updated Feb 7, 2025

Key facts

NPI
1619781747
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
32374792 (NE)
Practice address
110 N Carnes Ave
Pender, NE 68047-4508
Phone
(402) 922-0785
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32374792NEMDHome Health Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 32374792 NE Yes

Addresses

Primary practice location

110 N Carnes Ave
Pender, NE 68047-4508

Mailing address

110 N Carnes Ave
Pender, NE 68047-4508
Phone (402) 922-0785

Other providers in Pender, NE

All providers in Pender, NE · Home Health Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.