Provider Demographics
NPI:1972307221
Name:ILOMBO, RITA C
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:C
Last Name:ILOMBO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15450 RUGGLES ST APT 104
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-8819
Mailing Address - Country:US
Mailing Address - Phone:402-941-4637
Mailing Address - Fax:
Practice Address - Street 1:15450 RUGGLES ST APT 104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-8819
Practice Address - Country:US
Practice Address - Phone:402-941-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion