Individual provider · Type 1 NPI
Glenn P. Judevine
Adult Day Care Clinic/Center · Omaha, NE
NPI number
1881581114
Active
Practice location
9012 Q St
Omaha, NE 68127-3549
Mailing address
14823 Paul Plz
Omaha, NE 68154-1160
Other practice locations
- 14823 Paul Plz, Omaha, NE 68154-1160 · (402) 690-8159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
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About NPI 1881581114
Glenn P. Judevine's National Provider Identifier is 1881581114, issued on Jun 19, 2025. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Omaha, NE. The record was last updated on Jun 19, 2025.