Individual provider · Type 1 NPI

Otis McCoullough

Home Health Aide · Omaha, NE

NPI number 1467250159 Active

About NPI 1467250159

Otis McCoullough's National Provider Identifier is 1467250159, issued on Mar 6, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Omaha, NE. The record was last updated on Mar 6, 2025.