Individual
SAMUEL JUSTIN TERREBONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 MARTELL RD, HICKMAN, NE 68372-9400
(402) 601-2908
Mailing address
5501 MARTELL RD, HICKMAN, NE 68372-9400
(402) 601-2908
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NE
372600000X
Adult Companion
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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