Tenna Shu Palace, LLC

NPI #1992355291 in Omaha, Nebraska

Provider Information

NPI Number: 1992355291
Entity Type: Organization
Organization Name: Tenna Shu Palace, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 1822 N 33RD ST
City: Omaha
State: Nebraska
ZIP Code: 68111-4108
Phone: (402) 215-3822

Authorized Official

Name: TYRONE V HAYES
Title: OWNER
Phone: (402) 215-3822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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