Provider Demographics
NPI:1609670074
Name:KOMLA EBRI, AKUAVI SENA II
Entity type:Individual
Prefix:MRS
First Name:AKUAVI
Middle Name:SENA
Last Name:KOMLA EBRI
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17721 ELM ST
Mailing Address - Street 2:HOUSE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136
Mailing Address - Country:US
Mailing Address - Phone:402-738-0175
Mailing Address - Fax:
Practice Address - Street 1:17721 ELM ST
Practice Address - Street 2:HOUSE
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136
Practice Address - Country:US
Practice Address - Phone:402-738-0175
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
Yes253Z00000XAgenciesIn Home Supportive Care